儿童胰腺肿瘤8例报告

Pancreatic tumors in children： A mini-series of eight patients

目的介绍儿童胰腺肿瘤的常见类型，提高对这些疾病的诊断和治疗水平。方法报告8例儿童胰腺肿瘤，男3例，女5例，年龄2岁至14岁8个月。7例患儿行手术治疗，其中1例良性畸胎瘤；低度恶性者3例（囊实瘤2例，胰岛细胞瘤1例）；高度恶性者3例（胰母细胞瘤2例，胰头癌1例）；未手术1例。结果7例手术者中良性和低度恶性病例术后随访至今未见复发及不适；3例高度恶性病例患儿术后均放弃进一步治疗；1例未手术者6个月后死亡。结论儿童胰腺肿瘤在临床上相对少见，不同病理类型临床表现不同，治疗方法各异，预后也相差很大。

Objective To review our experience of management of pancreatic tumors in children. Methods Eight pancreatic tumors in children were reviewed. Results There were three boys and five girls. The age ranged from two years to fourteen years and eight months. Seven children underwent operations. There were one benign mature cystic teratoma, three low gradel malignant tumors and three malignant tumors, The low-grade malignant tumors included a solid and a cystic tumor and an islet cell tumor. Of the three malignant tumors, there were two pancreatohlastomas and one carcinoma of head of pancreas. One no,operative case was diagnosed clinically as pancreatoblastoma. Of the seven operated cases,the benign and low-grade malignant tumors had a good outcome. As for the three malignant cases, treatment was discontinued,due to poor prognosis. The non-operative patient did not receive further treatment and succumbed later. Conclusions Pancreatic tumors are rare in children. Different pathologies resulted in different clinical courses and prognosis.