Solid Cystic Tumor of the Pancreas without Cystic Lesions in a 9-year-old Male

Kazuhiro Mori, Atsushi Shinmura, Takashi Kobayashi, Keiichi Muraoka, Shigeru Takeyama and Joji Haratake*

Department of Surgery, Kurobe City Hospital
*Department of Pathology, Kurobe City Hospital

Solid cystic tumor (SCT) of the pancreas is rarely seen in young males. We report a solid cystic tumor of the pancreas in a 9-year old boy. The patient was admitted to our hospital complaining of upper abdominal pain. Abdominal ultrasonography and computed tomography examinations revealed a solid tumor in the tail of the pancreas. Abdominal magnetic resonance imaging showed bleeding in the tumor. An angiography showed a hypervascular tumor in the tail of the pancreas. An operation was performed under a diagnosis of pancreatoblastoma or SCT. On exploration, a solid tumor with a fibrous encapsulation was found. A distal pancreatectomy without splenectomy was performed. The histological findings confirmed a diagnosis of pancreatic SCT with few cystic lesions. Immunohistochemical studies showed immunoreactivity for α₁-antitrypsin and NSE. The patient has been well for five years and eleven months since surgery, with no signs of recurrence.

Key words
solid cystic tumor, young male, distal pancreatectomy without splenectomy

Reprint requests
Kazuhiro Mori Department of Surgery, Kurobe City Hospital
1108-1 Mikkaichi, Kurobe City, 938-8502 JAPAN

Accepted
October 29, 2003

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