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Case Reports
. 2017 Jul;39(5):e275-e278.
doi: 10.1097/MPH.0000000000000842.

Complete Resection of Pancreatoblastoma With Portal Vein Obstruction After High-dose Chemotherapy: A Case Report

Souji Ibuka  1 , Shuichiro Uehara, Takehisa Ueno, Takaharu Oue, Takako Miyamura, Yoshiko Hashii, Hiroomi Okuyama
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Case Reports

Complete Resection of Pancreatoblastoma With Portal Vein Obstruction After High-dose Chemotherapy: A Case Report

Souji Ibuka et al. J Pediatr Hematol Oncol. 2017 Jul.

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.

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