Loyola Surgeons Remove Extremely Rare Tumor from 9-year-old Girl

News Archive July 06, 2013

Loyola Surgeons Remove Extremely Rare Tumor from 9-year-old Girl

Incidence is About One in 10 million

MAYWOOD, Il. - Loyola University Medical Center surgeons have successfully removed an extremely rare pancreatic tumor from a patient who was only 9 years old.

Such pancreatic tumors occur in about 1 in every10 million children, said pediatric surgeon Dr. Heather Paddock. "It's the first case I have seen in my career, and almost certainly will be my last," Paddock said. She plans to write a report about the case in a medical journal.

Paddock and cancer surgeon Dr. Margo Shoup removed the 1 ½-inch tumor from Alexis Guzman of Franklin Park, Il. Alexis has made a quick recovery from the 4 ½-hour surgery. She is going into fifth grade at Washington Elementary School in Schiller Park, where she has made the honor roll.

The tumor, which turned out to be benign, was located on the head of the pancreas. Paddock and Shoup performed an extensive surgery known as the Whipple procedure. They removed the head of the pancreas, the far end of the bile duct, the first part of the intestine, part of the stomach and the entire gallbladder. (The procedure is named after Dr. Allen Whipple, who developed the surgery.)

Shoup has performed more than 200 Whipple procedures. Previously, her youngest Whipple patient was 22 years old. Shoup said that doing a Whipple on a child is challenging because the organs and structures are smaller. But children also heal quickly. After her extensive surgery, Alexis spent just six days in the hospital, and was back in school in three weeks. Alexis recalled that after the surgery, "I was tired, but it didn't hurt."

Doctors don't know what caused Alexis' tumor. The symptoms included severe abdominal pain and loss of appetite. Her primary care physician admitted her to a community hospital, which performed a CT scan that detected the tumor. Alexis then was transferred to Loyola.

Alexis' father, Guillermo Guzman, said he was frightened when he learned about his daughter's diagnosis. "I was worried and concerned," he said. "But with good prayers, I knew she would be OK."

Paddock is specially trained in providing surgical care to pediatric patients. Her medical interests include congenital abnormalities, gastroesophageal reflux, congenital diaphragmatic hernia, pediatric trauma and burns, and minimally invasive surgery. She is an instructor in the departments of Pediatrics and Surgery at Loyola University Chicago Stritch School of Medicine.

Shoup is chief of the Division of Surgical Oncology of Loyola University Medical center and a Fellow of the American College of Surgeons. In addition to the Whipple surgery, her medical interests include bile duct cancer, colon cancer, esophagus cancer, esophagus surgery, gastrointestinal surgery, GIST, liver cancer, pancreas cancer, pancreas disorders, pancreas surgery, soft-tissue sarcoma and stomach cancer.

Loyola University Health System (LUHS) is a member of Trinity Health. Based in the western suburbs of Chicago, LUHS is a quaternary care system with a 61-acre main medical center campus, the 36-acre Gottlieb Memorial Hospital campus and more than 30 primary and specialty care facilities in Cook, Will and DuPage counties. The medical center campus is conveniently located in Maywood, 13 miles west of the Chicago Loop and 8 miles east of Oak Brook, Ill. The heart of the medical center campus is a 559-licensed-bed hospital that houses a Level 1 Trauma Center, a Burn Center and the Ronald McDonald® Children's Hospital of Loyola University Medical Center. Also on campus are the Cardinal Bernardin Cancer Center, Loyola Outpatient Center, Center for Heart & Vascular Medicine and Loyola Oral Health Center as well as the LUC Stritch School of Medicine, the LUC Marcella Niehoff School of Nursing and the Loyola Center for Fitness. Loyola's Gottlieb campus in Melrose Park includes the 255-licensed-bed community hospital, the Professional Office Building housing 150 private practice clinics, the Adult Day Care, the Gottlieb Center for Fitness, Loyola Center for Metabolic Surgery and Bariatric Care and the Loyola Cancer Care & Research at the Marjorie G. Weinberg Cancer Center at Melrose Park.
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