Takahashi H, Hashimoto K, Hayakawa H, Kusakawa M, Okamura K, Kosaka A, Mizumoto R, Katsuta K
Department of Surgery, Matsusaka City Hospital, Mie, Japan.
Surg Today. 1999;29(12):1264-7. doi: 10.1007/BF02482220.
Solid cystic tumor of the pancreas is a primary pancreatic neoplasm of unknown etiology that most commonly occurs in young women and ordinarily contains hemorrhagic tissue. We report herein the unusual case of a 75-year-old man found to have a solid cystic tumor in the body and tail of the pancreas, who is the oldest such male patient to be documented in Japan. The results of laboratory data and imaging studies indicated that the patient had a nonfunctioning islet tumor or solid cystic tumor of the pancreas, and distal pancreatectomy with splenectomy was performed. The diagnosis of solid cystic tumor was confirmed based on macroscopic and histological findings of the resected pancreatic tumor. The patient is currently in good health, without any signs of tumor recurrence 1 year and 4 months after his operation. A total of 181 cases of solid cystic tumors of the pancreas reported in the Japanese literature, including our case, were reviewed to evaluate the clinical differences between patients aged 50 years or over and those younger than 50 years.
胰腺实性假乳头状瘤是一种病因不明的原发性胰腺肿瘤，最常见于年轻女性，通常含有出血组织。我们在此报告一例罕见病例，一名75岁男性被发现胰腺体尾部有实性假乳头状瘤，他是日本有记录以来年龄最大的此类男性患者。实验室检查数据和影像学研究结果表明，该患者患有无功能性胰岛细胞瘤或胰腺实性假乳头状瘤，并进行了胰体尾切除术加脾切除术。根据切除的胰腺肿瘤的宏观和组织学检查结果，确诊为实性假乳头状瘤。患者目前身体健康，术后1年4个月无任何肿瘤复发迹象。我们回顾了包括本病例在内的日本文献中报道的181例胰腺实性假乳头状瘤病例，以评估50岁及以上患者与50岁以下患者之间的临床差异。
