当前位置： SCI文献检索 > JOURNAL OF PEDIATRIC SURGERY期刊下所有文献 > Pancreatic islet cell tumors in adolescents and young adults.

Pancreatic islet cell tumors in adolescents and young adults.

Abstract：

BACKGROUND:Pancreatic islet cell tumors are rare in adolescents, and most studies published to date focus on older patients. We utilized a national database to describe the histology and clinical pattern of pancreatic islet cell tumors in adolescent and young adult (AYA) patients, and to compare AYAs to older adults. We hypothesized that AYAs with pancreatic islet cell tumors would have better overall survival. METHODS:The National Cancer Data Base (NCDB, 1998-2012) was queried for AYA patients (15-39 years) with a pancreatic islet cell tumor diagnosis. Demographics, tumor characteristics, treatment modalities, and outcomes were abstracted and compared to adults (≥40 years). RESULTS:383 patients (56.4% female, 65% non-Hispanic Whites) were identified, with a median age of 27 (IQR 16-34) years. Islet cell carcinoma was the most common histology. Of patients with known stage of disease, 49% presented with early stage (I or II). Seventy percent of patients underwent surgical resection, including local excision 44%, Whipple procedure 37.5%, or total pancreatectomy 19%. Chemotherapy was utilized in 27% and radiotherapy in 7%. All-cause mortality was 36%. AYA patients underwent more extensive resections (p = 0.001) and had lower mortality rates (p < 0.001), with no differences in tumor stage or use of adjuvant therapies, when compared to adults. CONCLUSIONS:AYA patients with pancreatic islet cell tumors had comparable utilization of adjuvant therapies but underwent more extensive resections and demonstrated a higher overall survival rate than adult counterparts. Further investigation into approaches to earlier diagnosis and tailoring of multimodality therapy of these neoplasms in the AYA population is needed. LEVELS OF EVIDENCE:Prognostic Study, Level II - retrospective study.

journal_name

J Pediatr Surg

journal_title

Journal of pediatric surgery

authors

Waters AM,Maizlin II,Russell RT,Dellinger M,Gow KW,Goldin A,Goldfarb M,Nuchtern JG,Langer M,Vasudevan SA,Doski JJ,Raval M,Beierle EA

doi

10.1016/j.jpedsurg.2019.01.060

subject

Has Abstract

pub_date

2019-10-01 00:00:00

pages

2103-2106

issue

eissn

0022-3468

issn

1531-5037

pii

S0022-3468(19)30114-9

journal_volume

pub_type

杂志文章

在线工具

Pancreatic islet cell tumors in adolescents and young adults.