Pancreatic tumors in children are exceedingly rare and hence present diagnostic and therapeutic challenges to pediatric surgeons. In this study, we aimed to present our experiences and treatment outcomes related to these rare tumors. The clinical data, laboratory investigations, radiological imaging, and the pathology and surgical details of patients with pancreatic tumors who were diagnosed between and were retrospectively reviewed. A total of 9 patients 5 men were included in the study. The most common symptom at the time of presentation was vague abdominal pain. A pancreatic tumor was detected incidentally in 4 patients. All tumors were non-functional primary tumors. Two deaths from tumor dissemination were recorded. The patients were followed-up at Getting Soft During Sex mean duration of 72 months range: months. Pediatric pancreatic tumors are rare and are usually benign in nature. They present symptoms that are often nonspecific. In non-metastatic cases, surgical tumor removal is the preferred method for the treatment. For most tumors, surgical resection is the optimal treatment that may be successfully performed with low morbidity rate when the lesion is either in the body or in the tail of the pancreas. The long-term outcomes with this approach are generally good. Pancreatic tumors are extremely rare in children and young adults. Although solid-pseudopapillary tumors SPT are more common in adolescence, pancreatoblastoma PBs remain the most commonly encountered tumors in the first decade of life 1,2. Other less common tumors, such as neuroblastoma, neuroendocrine tumors, acinar cell carcinoma, rhabdomyosarcoma RMSlymphoma, and hemangioendothelioma have also been reported 1,3. The incidence of pediatric pancreatic tumors, irrespective of their histology, has increased over the past 3 decades, with the advancements in the imaging methodologies. However, no significant changes have been reported in therapeutic approaches during this time period 1,4. Pancreatic tumors in children continue to be challenging for pediatric surgeons, often due to insufficient experience in the management of such patients 6. The aim of the present study was to review our institutional experiences of pancreatic tumors in children, with a particular focus on tumor presentation, diagnosis, treatment, and outcomes. All patients and their families were fully informed about the study and they consented to their participation. This retrospective study included 9 patients with pancreatic tumors identified from the histopathology reports at the Department of Pediatric Surgery, Başkent University and the Faculty of Medicine between and The clinical features, diagnostic methods, and the treatment and results were accordingly recorded. Nine patients 4 girls, 5 boys of median age at the time of surgery of 11 years age range: years were identified from the medical charts and notes. The patient data i. A year-old male patient case 1 was investigated in the external center for abdominal pain. His magnetic resonance imaging MRI revealed a heterogeneous mass of approximately A needle biopsy was performed, and the subsequent pathology revealed a hepatoblastoma. The patient was referred to the pediatric oncology department of our hospital for further treatment. The patient received chemotherapy, with a preliminary diagnosis of hepatoblastoma. The patient was examined Getting Soft During Sex months later because of a significant non-reduction in the tumor mass size During surgery, a mass originating in the pancreas, with no connection to the liver, was detected and then completely excised with enucleating. The pathology report declared an undifferentiated carcinoma. Although postoperative radiotherapy was provided, the patient died due to progressive metabolic disease after 18 months. A 6-year-old boy case 2 was admitted to our clinic for vague abdominal pain. A solid mass measuring 11 cm in diameter was detected at the head of the pancreas. A needle biopsy reported a pancreaticoblastoma. The patient received chemotherapy and subsequently underwent surgery to remove the residual mass measuring 1. This case was classified as an uneventful recovery.
He points out that all senses and flavors are coming together in sexual intercourse. Pancreatic cancer: diagnosis and management. Based on the current literature, we can say that the statements in this chapter are completely baseless superstitions. The Bahname-i Padişahi translated by Murat b. Two of these 3 patients underwent needle biopsy for diagnosis. Similar articles.
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