Pfitzmann R, Klupp J, Krenn V, Neuhaus P
Department of Surgery, Charité, Virchow-Clinic, Humboldt-University Berlin, Germany.
Z Gastroenterol. 2004 Feb;42(2):153-5. doi: 10.1055/s-2004-812838.
A 36-year-old female presented with unspecific epigastric discomfort, without weight loss, night sweat or fever. Ultrasound and computed tomography showed a solid tumor with a diameter of 9 cm in the left upper abdomen, without any connection to the stomach, the pancreas or spleen. Laparoscopy showed a connection to parts of the greater omentum. Two days after laparoscopic resection the patient was discharged from hospital. Histology revealed the rare diagnosis of a dermoid cyst. A possible malignant degeneration of the tumor has to be considered, and therefore the tumor should be resected. Since the operation the patient is asymptomatic and without tumor recurrence.
一名36岁女性因上腹部非特异性不适就诊,无体重减轻、盗汗或发热症状。超声和计算机断层扫描显示左上腹有一个直径9厘米的实性肿瘤,与胃、胰腺或脾脏无任何关联。腹腔镜检查显示该肿瘤与大网膜部分相连。腹腔镜切除术后两天患者出院。组织学检查确诊为罕见的皮样囊肿。必须考虑肿瘤发生恶性变的可能性,因此应切除肿瘤。自手术以来,患者无症状且无肿瘤复发。