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Published: 2025-10-31
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DOI: https://doi.org/10.52852/tcncyh.v195i10.4072
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Vol. 195 No. 10 (2025)
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Sơn, N. C., Hoàn, V. M., Tâm, T. Đức, Hiền, P. D., & Huyền, N. T. M. (2025). 13. Short-term outcomes of pancreatic head tumor enucleation for solid pseudopapillary neoplasms in children: A retrospective case series. Journal of Medical Research, 195(10), 120-128. https://doi.org/10.52852/tcncyh.v195i10.4072

13. Short-term outcomes of pancreatic head tumor enucleation for solid pseudopapillary neoplasms in children: A retrospective case series

Nguyen Cong Son, Vu Manh Hoan, Tran Duc Tam, Pham Duy Hien, Nguyen Thi Minh Huyen

Main Article Content

Abstract

This retrospective study evaluated the short-term outcomes of pancreatic head tumor resection in 14 pediatric patients with solid pseudopapillary neoplasm (SPN) treated at the Vietnam National Children’s Hospital between January 2022 and December 2024. The mean age at diagnosis was 10.5 years old (range, 7 - 15), with a female predominance (78.6%). The most common presenting symptom was epigastric and left hypochondrial pain (85.7%), and the mean tumor size was 4.6cm (range, 1.9 - 10cm). On computed tomography, the majority of tumors exhibited a mixed solid-cystic pattern (64.3%). All patients underwent pancreatic head resection without perioperative mortality. Postoperative complications included pancreatic fistula (7.1%) and biliary fistula (7.1%). One patient developed recurrence at 14 months, while the remaining cases remained in stable condition under regular follow-up. These findings suggest that SPN of the pancreas is a rare, low-grade malignant tumor, and pancreatic head-preserving resection is a safe and effective treatment in children, with low rates of complications and recurrence.

Article Details

Keywords

Solid pseudopapillary neoplasm of the pancreas, children, pancreatic head tumor enucleation

References

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