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. 2016 Aug 31;10(8):28–38. doi: 10.3941/jrcr.v10i8.2737

Table 2.

Summary table for pancreatoblastoma

Etiology Unknown; most cases sporadic
Incidence Around 0.004 new cases per 100,000 population
Gender ratio Almost equal distribution in adults
Age predilection
  • Most commonly in patients 1 to 8 years of age

  • Rare cases in adults (35 cases in adults reported in literature)

Risk factors
  • 2/3 of cases in Asian descents

  • Occasionally associated with alterations in the Wnt signaling pathway and chromosome 11p loss of heterozygosity (LOH), Beckwith-Wiedemann syndrome and familial adenomatous polyposis

Treatment
  • The only curative treatment is complete resection

  • Radiotherapy or chemotherapy may be given in some cases (higher stage)

Prognosis
  • In adults is uniformly poor – survival median time varies between 5 and 20 months

  • In children the tumor is more indolent, with a better prognosis, particularly if completely resected.

Findings on imaging
  • Usually large, well defined, at least partially circumscribed, lobulated, and heterogeneous with solid and cystic components

  • US: solid inseparable pancreatic mass with mixed echogenicity

  • CT: better demonstrates calcifications

  • MRI: heterogeneous with low to intermediate signal intensity on T1-wi and high signal on T2; better delineates intratumoral hemorrhage and necrotic areas.

  • Enhancement is a common feature on contrast-enhanced CT and MRI.