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内镜超声下胰腺假性囊肿内充满半固态脂质,类似于实性肿块。

Pancreatic pseudocyst filled with semisolid lipids mimicking solid mass on endoscopic ultrasound.

机构信息

Division of Gastroenterology, Department of Internal Medicine, Eulji University College of Medicine, Eulji University Hospital, Dunsan-dong, Seo-gu, Deajeon 302-779, South Korea.

出版信息

World J Gastroenterol. 2010 Feb 28;16(8):1034-8. doi: 10.3748/wjg.v16.i8.1034.

DOI:10.3748/wjg.v16.i8.1034
PMID:20180247
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2828592/
Abstract

Pancreatic pseudocysts, which account for 70%-90% of pancreatic cystic lesions, characteristically are non-epithelially lined cystic cavities that are contiguous with the pancreas. Pancreatic pseudocysts can be caused by acute, chronic or traumatic pancreatitis and should be differentiated from other pancreatic diseases with cystic appearances, especially cystic neoplasms. We report a unique case of a pancreatic pseudocyst filled with semisolid lipids, which appeared by endoscopic ultrasound as a solid mass, and was therefore resected.

摘要

胰腺假性囊肿占胰腺囊性病变的 70%-90%,其特征为与胰腺相连的无上皮衬里的囊性腔隙。胰腺假性囊肿可由急性、慢性或创伤性胰腺炎引起,应与其他具有囊性表现的胰腺疾病,特别是囊性肿瘤相鉴别。我们报告了一个独特的病例,一个胰腺假性囊肿充满了半固态脂质,在内镜超声下表现为实性肿块,因此被切除。

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本文引用的文献

1
Focal fatty replacement of the pancreas: usefulness of chemical shift MRI.胰腺局灶性脂肪替代:化学位移磁共振成像的作用
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Imaging diagnosis of cystic pancreatic lesions: pseudocyst versus nonpseudocyst.胰腺囊性病变的影像诊断:假性囊肿与非假性囊肿
Radiographics. 2005 May-Jun;25(3):671-85. doi: 10.1148/rg.253045104.
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Cystic neoplasms of the pancreas.胰腺囊性肿瘤
N Engl J Med. 2004 Sep 16;351(12):1218-26. doi: 10.1056/NEJMra031623.
6
Pancreatic pseudocysts (Part I).胰腺假性囊肿(第一部分)
Gastrointest Endosc. 2004 Jun;59(7):873-9. doi: 10.1016/s0016-5107(04)00354-2.
7
Evaluation of pancreatic cystic lesions with EUS.超声内镜对胰腺囊性病变的评估
Gastrointest Endosc. 2004 May;59(6):698-707. doi: 10.1016/s0016-5107(04)00175-0.
8
Cystic pancreatic neoplasms: observe or operate.胰腺囊性肿瘤:观察还是手术。
Ann Surg. 2004 May;239(5):651-7; discussion 657-9. doi: 10.1097/01.sla.0000124299.57430.ce.
9
Performance of endosonography-guided fine needle aspiration and biopsy in the diagnosis of pancreatic cystic lesions.内镜超声引导下细针穿刺抽吸活检在胰腺囊性病变诊断中的应用
Am J Gastroenterol. 2003 Jul;98(7):1516-24. doi: 10.1111/j.1572-0241.2003.07530.x.
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Interobserver agreement among endosonographers for the diagnosis of neoplastic versus non-neoplastic pancreatic cystic lesions.内镜超声检查医师之间对于胰腺囊性病变的肿瘤性与非肿瘤性诊断的观察者间一致性。
Gastrointest Endosc. 2003 Jul;58(1):59-64. doi: 10.1067/mge.2003.298.