title: Inflammatory myofibroblastic tumors of the pancreas in children: A case report and literature review.
abstract: BACKGROUND
  Inflammatory myofibroblastic tumors are an uncommon neoplasm, which are very rarely located in the pancreas. Clinically and radiologically, this rare pancreatic tumor presents as an abdominal mass lesion that mimics other pancreatic tumors, and should therefore be considered in the differential diagnosis of pancreatic tumors.
  
  
  RESULTS
  The 15-year-old boy complained of abdominal pain over the left upper quadrant with intermittent fever for 7 days. Abdominal sonography revealed one cystic lesion with a hyperechoic component in the left upper quadrant of the abdomen. Surgical excision was performed and postoperative findings indicated a pancreatic tail tumor. The pathology indicated inflammatory myofibroblastic tumors. To our knowledge, this patient is a unique case as the tumor was located in the pancreatic tail only, sparing the body.
  
  
  RESULTS
  The patient underwent tumor resection and segmental resection of the transverse colon with simple closure. The patient had no evidence of disease recurrence at 3 years follow-up.
  
  
  CONCLUSIONS
  Inflammatory myofibroblastic tumors of the pancreas in children are extremely rare. Surgical excision is the standard treatment, and corticosteroids use in children need more large-scale studies.
authors.affiliation: aDepartment of Pediatrics bDepartment of Pediatric Surgery cDepartment of Surgery, E-Da Hospital, I-Shou University, Yanchao District, Kaohsiung, Taiwan.
authors.forename: Hsien-Kuan
authors.initials: HK
authors.lastname: Liu
authors.forename: Yung-Cheng
authors.initials: YC
authors.lastname: Lin
authors.forename: Ming-Lun
authors.initials: ML
authors.lastname: Yeh
authors.forename: Yaw-Sen
authors.initials: YS
authors.lastname: Chen
authors.forename: Yu-Tsun
authors.initials: YT
authors.lastname: Su
authors.forename: Ching-Chung
authors.initials: CC
authors.lastname: Tsai
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000293:Adolescent; D003937:Diagnosis, Differential; D006104:Granuloma, Plasma Cell / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery*; D006801:Humans; D061705:Image-Guided Biopsy; D008297:Male; D010182:Pancreatic Diseases / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery*; D010190:Pancreatic Neoplasms / Q000175:diagnosis; D014463:Ultrasonography