title: Inflammatory myofibroblastic tumor of the pancreatic head - a case report of a 6 months old child and review of the literature.
abstract: BACKGROUND
  Inflammatory myofibroblastic tumors are rare in the pediatric population. Most common localizations were reported in the lungs. A localization in the pancreas needs differentiation from other tumors and chronic pancreatitis. Treatment is surgical resection, although there are reports of treatment with oral steroids and radiation therapy.
  
  
  METHODS
  A 6-month-old child was treated due to a tumor in the head of the pancreas. On admission he was jaundiced with pruritus. US and MRI confirmed pancreatic tumor. Preoperative biopsy wasn't conclusive regarding the nature of the tumor. Duodenopancreatectomy was performed. Postoperative course was uneventful. Histologic examination confirmed the diagnosis of inflammatory myofibroblastic tumor. On follow up, he remained with no evidence of recurrence.
  
  
  CONCLUSIONS
  A literature review revealed 10 cases of pancreatic inflammatory myofibroblastic tumors in the pediatric age group. Our patient is the youngest reported. Despite major resection, there were no complications. However, management of this child might be possible with steroids, but conservative treatment might be insufficient, especially in aggressive forms of tumors.
authors.affiliation: Department of Abdominal Surgery, University Medical Center Ljubljana, Ljubljana, Slovenia.
authors.forename: Ales
authors.initials: A
authors.lastname: Tomazic
authors.affiliation: Department of Abdominal Surgery, University Medical Center Ljubljana, Ljubljana, Slovenia.
authors.forename: Diana
authors.initials: D
authors.lastname: Gvardijancic
authors.affiliation: Department of Abdominal Surgery, University Medical Center Ljubljana, Ljubljana, Slovenia.
authors.forename: Joze
authors.initials: J
authors.lastname: Maucec
authors.affiliation: Department of Gastroenterology, Hepatology and Nutrition, University Children's Hospital, Ljubljana, University Medical Center Ljubljana, Ljubljana, Slovenia.
authors.forename: Matjaz
authors.initials: M
authors.lastname: Homan
keywords: child; duodenopancreatectomy; inflammatory myofibroblastic tumor