Idiopathic fibrosing pancreatitis and spontaneous resolution of pancreatic masses in children

A symptomatic pancreatic mass poses both a diagnostic and therapeutic conundrum. First, benign conditions may mimic malignancy and second, the management of benign lesions has not been well defined. We reviewed four such cases and discuss the management of juvenile idiopathic fibrosing pancreatitis...

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Bibliographic Details
Published inPediatric surgery international Vol. 23; no. 9; pp. 897 - 901
Main Authors Cartmell, M T, Cusick, E, Ashworth, M, Duncan, A, Huskisson, L J
Format Journal Article
LanguageEnglish
Published Germany Springer Nature B.V 01.09.2007
Subjects
Abdominal Pain - etiology
Adolescent
Biopsy
Child
Child, Preschool
Diagnosis, Differential
Female
Fibrosis - complications
Fibrosis - diagnosis
Follow-Up Studies
Humans
Jaundice, Obstructive - etiology
Male
Pancreas - diagnostic imaging
Pancreas - pathology
Pancreatic Neoplasms - complications
Pancreatic Neoplasms - diagnosis
Pancreatitis - complications
Pancreatitis - diagnosis
Remission, Spontaneous
Tomography, X-Ray Computed
Ultrasonography
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Summary:A symptomatic pancreatic mass poses both a diagnostic and therapeutic conundrum. First, benign conditions may mimic malignancy and second, the management of benign lesions has not been well defined. We reviewed four such cases and discuss the management of juvenile idiopathic fibrosing pancreatitis in the light of these. In four children with symptomatic pancreatic masses/enlargement (three with jaundice) all resolved spontaneously without definitive intervention. Histopathology, obtained in two cases, revealed a fibrotic chronic inflammatory reaction. Pancreatic masses in children may not be malignant. Resolution of symptoms including obstructive jaundice and a mass secondary to juvenile idiopathic fibrosing pancreatitis may occur spontaneously, avoiding the need for resection or definitive drainage procedures.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
content type line 23
ObjectType-Report-1
ObjectType-Article-3
ISSN:0179-0358
1437-9813
DOI:10.1007/s00383-007-1943-5