Table 1. Clinical features of world’s 14 cases of primitive neuroectodermal tumors of the pancreas (1-5).
Case No. | Age (years) | Sex | Presenting symptoms | Size (cm) | Cytogenetic analysis | Diagnosis procedure | Treatment | Metastasis | Clinical follow-up |
---|---|---|---|---|---|---|---|---|---|
1 | 17 | M | Jaundice, Abdominal pain | 9.0 | + | Whipple resection | CHE | N/A | 33 mo; NED |
2 | 20 | M | Jaundice, Abdominal pain | 3.5 | + | Whipple resection | N/P | N/A | 27 mo; AWD |
3 | 25 | F | Abdominal pain | N/A | N/A | Biopsy | N/A | N/A | N/A |
4 | 21 | F | Abdominal pain | N/A | +* | Whipple resection | N/A | N/A | DOC |
5 | 25 | F | Jaundice, Abdominal pain | 8.0 | -* | Biopsy | N/A | N/A | N/A |
6 | 13 | M | Abdominal pain | 6.0 | N/A | Biopsy | N/A | N/P | 43 mo; NED |
7 | 6 | M | Jaundice, Abdominal pain | 3.5 | +* | Whipple resection | CHE | 48 mo; Recurrence | 48 mo; DOD |
8 | 31 | M | Abdominal pain fever | 10.0 | - | Whipple resection | RAD CHE | 4 mo, Recurrence; 24 mo/36 mo, lung | 50 mo; DOD |
9 | 6 | F | Abdominal pain Anemia | 5.5 | -** | Whipple resection | N/P | 6 mo;Recurrence | 6 mo; DOD |
10 | 13 | F | Dyspepsia Vomiting | 22 | N/A | Whipple resection | CHE | N/A | N/A |
11 | 31 | M | Abdominal pain Loss of appetite | N/A | N/A | Biopsy | CHE | N/A | N/A |
12 | 17 | M | Abdominal pain | 9 | + | Whipple resection # | RAD CHE | N/P | 8 mo; AWD |
13 | 33 | M | Abdominal pain | 15 | + | Laparotomy | RAD CHE | Simultaneously, liver, spleen | 12 mo;AWD |
14# | 13 | F | Abdominal pain Diabetes mellitus 2 | 3.5 | + | RUPT | RAD CHE | 9/36 mo, Recurrence; 12 mo, ascites | 41 mo; AWD |
Sex, M, male; F, female; N/A, not available; N/P, not performed; Cytogenetic analysis (+), t[11;22][q24;12]; *RT-PCR, reverse transcriptase Polymerase Chain Reaction data; RUPT, resection of the uncinate process tumor, preserving the duodenum; #Whipple resection, pylorus preserving pancreatoduodenectomy; -**, loss of cosmids F7 and E4 distal of the EWSR1 breakpoint in nearly all cells; NED, no evidence of disease; AWD, alive with disease; DOC: died of postoperative complications; DOD, died of disease; mo, month; Metastasis, post operation time and position of the metastasis; RAD, radiotherapy; CHE, chemotherapy; #14 our case