Pediatric pancreatic teratoma: A case report and literature review

RATIONALE: Pediatric pancreatic teratoma (PPT) is a rare tumor with unclear clinicopathologic features and treatment strategy. PATIENT CONCERNS: A 13-month-old boy was admitted to the hospital with a complaint of a palpable epigastric mass. DIAGNOSES: The lesion was diagnosed as benign mature cyst teratoma via postoperative pathological examination. INTERVENTIONS: Pylorus-preserving pancreaticoduodenectomy (PPPD) was performed on the patient. The entire mass was resected from the head of the pancreas and sent to the laboratory for frozen section evaluation. OUTCOMES: The patient was followed up for 15 months. He did not undergo recurrence or PPPD-related complications. LESSONS: The differential diagnosis of retroperitoneal occupying lesions among children must consider mature cystic teratomas. Compete surgical resection combined with subsequent postoperative outpatient follow-up remains the primary choice for the management of PPTs. PPTs are extremely rare tumors with unclear clinicopathologic features and treatment strategy. This study aims to explore the clinical characteristics of and treatment strategy for these tumors. We reported a 13-month-old patient with pancreatic teratoma who underwent pylorus-preserving PPPD. The operation lasted approximately 6 hours. The mass was completely removed, and the patient recovered uneventfully. Complete surgical resection combined with outpatient follow-up is the primary choice for the management of PPTs.