title: Obstructive jaundice secondary to pancreatic head adenocarcinoma in a young teenage boy: a case report.
abstract: BACKGROUND
  Pancreatic adenocarcinoma is extremely rare in childhood. We report a case of metastatic pancreatic adenocarcinoma in a 13-year-old boy, revealed by jaundice.
  
  
  METHODS
  A 13-year-old Moroccan boy was admitted with obstructive jaundice to the children's Hospital of Rabat, Department of Pediatric Oncology. Laboratory study results showed a high level of total and conjugated bilirubin. Computerized tomography of the abdomen showed a dilatation of the intra-hepatic and extra-hepatic bile ducts with a tissular heterogeneous tumor of the head of the pancreas and five hepatic lesions. Biopsy of a liver lesion was performed, and a histopathological examination of the sample confirmed the diagnosis of metastatic ductal adenocarcinoma of the pancreas. Our patient underwent a palliative biliary derivation. After that, chemotherapy was administered (5-fluorouracil and epirubicin), however no significant response to treatment was noted and our patient died six months after diagnosis.
  
  
  CONCLUSIONS
  Malignant pancreatic tumors, especially ductal carcinomas, are exceedingly rare in the pediatric age group and their clinical features and treatment usually go unappreciated by most pediatric oncologists and surgeons.
authors: Medical Oncology unit, Hassan II University Hospital, Fez, Morocco. brahmi2007@gmail.com.
authors: Sami Aziz
authors: SA
authors: Brahmi
authors: Mohammed
authors: M
authors: Khattab
authors: Omar El
authors: OE
authors: Mesbahi