![]() ![]() Preoperative diagnosis of PB based on radiographic features may be difficult, as the imaging characteristics are non-specific. The aim of the present study was to highlight the aggressive behavior of this rare clinical entity, focusing on the pitfalls of pre‑operative diagnosis and the lack of management strategy guidelines in adults. PB is a malignant tumour of the pancreas that typically occurs in the pediatric population. Despite treatment with four cycles of systemic chemotherapy and five courses of radiofrequency ablation, the patient succumbed due to tumour dissemination 13 months after initial diagnosis. ![]() The patient underwent pancreaticoduodenectomy, however, three months after surgery multiple liver and bone metastases were identified on follow-up computed tomography scans. Abdominal imaging studies revealed a heterogenous lesion of the pancreatic head with dilatation of the common bile duct. The present study describes the case of a 24‑year‑old patient who presented with obstructive jaundice and weight loss, and was diagnosed with pancreatoblastoma (PB).
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