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Journal of Pediatrics Review، جلد ۱۱، شماره ۳، صفحات ۵-۵
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| عنوان فارسی |
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| چکیده فارسی مقاله |
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| کلیدواژه‌های فارسی مقاله |
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| عنوان انگلیسی |
Solid Pseudopapillary Tumor of Pancreas in a 14 Years Old Adolescent Presenting with Melena Case Report |
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| چکیده انگلیسی مقاله |
Introduction: The incidence of Pancreatic neoplasms in infants and children is 1.8 cases per 1,000,000. Three of the most common primary pancreatic neoplasms of children are pancreatoblastoma, solid pseudopapillary neoplasm of the pancreas and pancreatic endocrine neoplasms. Solid pseudopapillary neoplasm of the pancreas is a low-grade malignant tumor. Solid pseudopapillary neoplasm s in children presented with a palpable mass (60%), followed by abdominal pain (33.3%). Although duodenal invasion frequently occurs in patients with pancreatic cancer, massive gastrointestinal bleeding is seldom encountered. The most helpful imaging tecnique is the CT scan. Surgical resection is the treatment of choice for solid pseudopapillary neoplasms. Case Presentations: A 14 years old male adolescent presented to our pediatric emergency department with fatigue, dizziness, fever, vomiting and tachycardia. He had melena 5 days before admission. In order to stabilize the patient, crystalloids, pantoprazole, and packed red blood cells were administered. As the initial resuscitation measures stabilized the patient, endoscopic gastroduodenoscopy was performed, and a vascular lesion measuring 60 × 70 millimeters was noted in the second part of the duodenum. CT scan of abdomen with intravenous and oral contrast, showed a mass with solid and cystic components measuring 75 × 52 millimeters between the head of, the pancreas and gallbladder origination from the head of the pancreas. The patient underwent Whipple surgery. The diagnosis of the pathologic evaluation was solid-pseudopapillary tumor of pancreas. Conclusions: Most pediatric pseudopapillary tumors of pancreas present with palpable mass and abdominal pain, and gastrointestinal bleeding is a rare presentation not mentioned in previous case reports. |
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| کلیدواژه‌های انگلیسی مقاله |
Solid pseudopapillary tumor, Pancreas, Melena |
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| نویسندگان مقاله |
| Fateme Fazeli
Pediatrics Department, Birjand University of Medical Sciences, Birjand, Iran.
| Emad Asgari Jafarabadi
Pediatrics Department, Birjand University of Medical Sciences, Birjand, Iran.
| Amir Hossein Zardast
Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran.
| Marjan Joodi
Department of Pediatric Surgery, Mashhad University of Medical Sciences, Mashhad, Iran.
| Ghodsiyeh Azarkar
Department of Radiology, Birjand University of Medical Sciences, Birjand, Iran.
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| نشانی اینترنتی |
http://jpr.mazums.ac.ir/browse.php?a_code=A-10-1063-1&slc_lang=en&sid=1 |
| فایل مقاله |
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| کد مقاله (doi) |
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| زبان مقاله منتشر شده |
en |
| موضوعات مقاله منتشر شده |
Pediatrics |
| نوع مقاله منتشر شده |
Case Report and Review of Literature |
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