Complete Resection of Pancreatoblastoma With Portal Vein Obstruction After High-dose Chemotherapy: A Case Report
- PMID: 28538503
- DOI: 10.1097/MPH.0000000000000842
Complete Resection of Pancreatoblastoma With Portal Vein Obstruction After High-dose Chemotherapy: A Case Report
Abstract
Background: As no standard chemotherapy exists for pancreatoblastoma (PB), surgical resection is the most effective way of achieving complete remission.
Case report: A 3-year-old girl with PB causing portal vein obstruction was referred to our hospital. Because of the portal vein involvement, she initially received 5 cycles of preoperative chemotherapy after biopsy, consisting of cyclophosphamide, vincristine, pirarubicin, and cisplatin. After chemotherapy, she underwent distal pancreatectomy, and the tumor was resected completely. She has been disease free for 4 years since the operation.
Conclusions: Even in cases of advanced PB, complete surgical resection with appropriate chemotherapy can lead to complete remission.
Similar articles
-
Aggressive surgical and chemotherapeutic treatment of advanced pancreatoblastoma associated with tumor thrombus in portal vein.J Pediatr Surg. 2006 Mar;41(3):596-8. doi: 10.1016/j.jpedsurg.2005.11.071. J Pediatr Surg. 2006. PMID: 16516645
-
Pancreatoblastoma treated by delayed operation after effective chemotherapy.J Pediatr Surg. 2000 Nov;35(11):1663-5. doi: 10.1053/jpsu.2000.18347. J Pediatr Surg. 2000. PMID: 11083448
-
Liver transplant for metastatic pancreatoblastoma: 7-year event-free survival after chemotherapy, pancreatectomy, complete hepatectomy, and liver transplant.Pediatr Transplant. 2018 Feb;22(1). doi: 10.1111/petr.13098. Epub 2017 Dec 13. Pediatr Transplant. 2018. PMID: 29235221
-
Pancreatoblastoma in childhood: clinical course and therapeutic management of seven patients.Med Pediatr Oncol. 2001 Jul;37(1):47-52. doi: 10.1002/mpo.1162. Med Pediatr Oncol. 2001. PMID: 11466723 Review.
-
Does portal-superior mesenteric vein invasion still indicate irresectability for pancreatic carcinoma?Ann Surg Oncol. 2009 Apr;16(4):817-25. doi: 10.1245/s10434-008-0281-8. Epub 2009 Jan 21. Ann Surg Oncol. 2009. PMID: 19156463 Review.
Cited by
-
Pancreatoblastoma with Portal Venous Invasion: A Case Series.Indian J Radiol Imaging. 2021 Oct 6;31(3):611-617. doi: 10.1055/s-0041-1735914. eCollection 2021 Jul. Indian J Radiol Imaging. 2021. PMID: 34790306 Free PMC article.
-
The immunotherapy advancement targeting malignant blastomas in early childhood.Front Oncol. 2023 Feb 16;13:1015115. doi: 10.3389/fonc.2023.1015115. eCollection 2023. Front Oncol. 2023. PMID: 36874100 Free PMC article.
-
Living donor liver transplantation with total pancreatectomy and portal vein homograft replacement in a pediatric patient with advanced pancreatoblastoma.Ann Hepatobiliary Pancreat Surg. 2020 Feb;24(1):78-84. doi: 10.14701/ahbps.2020.24.1.78. Epub 2020 Feb 27. Ann Hepatobiliary Pancreat Surg. 2020. PMID: 32181434 Free PMC article.
-
A Rare Case of Pancreatoblastoma in a Pediatric Patient.Cureus. 2020 Jan 27;12(1):e6779. doi: 10.7759/cureus.6779. Cureus. 2020. PMID: 32015939 Free PMC article.
-
Adult pancreatoblastoma: Systematic review of the literature and case report of a young adult patient.World J Gastrointest Oncol. 2025 Jul 15;17(7):106701. doi: 10.4251/wjgo.v17.i7.106701. World J Gastrointest Oncol. 2025. PMID: 40697219 Free PMC article.
Publication types
MeSH terms
Supplementary concepts
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical
Research Materials