Horaguchi Jun, Fujita Naotaka, Kobayashi Go, Noda Yutaka, Kimura Katsumi, Ito Kei, Kobari Masao, Yamazaki Tadashi
Department of Gastroenterology, Sendai City Medical Center, 5-22-1 Tsurugaya, Miyagino-ku, Sendai 983-0824, Japan.
J Gastroenterol. 2003;38(5):501-6. doi: 10.1007/s00535-002-1089-0.
We herein report a case of pancreatic serous cystadenoma in a patient who presented with jaundice, and we provide a review of the literature. A 53-year-old man was admitted with complaints of jaundice and weight loss. With a preoperative diagnosis of pancreatic serous cystadenoma with obstructive jaundice, he underwent pylorus-preserving pancreatoduodenectomy. A cystic tumor partially protruding into the bile duct was observed in the pancreatic head. Histology verified serous cystadenoma of the pancreas. Histologically, no atypia was proven in the epithelium. There have been only eight case reports dealing with serous cystadenoma of the pancreas with obstructive jaundice. Although serous cystadenoma of the pancreas has essentially a benign nature, pylorus-preserving pancreatoduodenectomy is the treatment of choice when available to avoid the recurrence of obstructive jaundice.
我们在此报告一例表现为黄疸的胰腺浆液性囊腺瘤患者,并对相关文献进行综述。一名53岁男性因黄疸和体重减轻入院。术前诊断为伴有梗阻性黄疸的胰腺浆液性囊腺瘤,他接受了保留幽门的胰十二指肠切除术。在胰头部观察到一个部分突入胆管的囊性肿瘤。组织学检查证实为胰腺浆液性囊腺瘤。组织学上,上皮未发现异型性。仅有8例关于伴有梗阻性黄疸的胰腺浆液性囊腺瘤的病例报告。尽管胰腺浆液性囊腺瘤本质上是良性的,但在可行时,保留幽门的胰十二指肠切除术是避免梗阻性黄疸复发的首选治疗方法。