Department of Pathology, Athens University Medical School, Attikon University Hospital, Athens, Greece.
Diagn Pathol. 2010 Jan 14;5:4. doi: 10.1186/1746-1596-5-4.
A 60-year-old Caucasian male underwent a total pancreatectomy for a mixed type pancreatic intraductal papillary mucinous neoplasm (IPMN) arising in the main and secondary pancreatic ducts. During surgery, a subserosal polypoid mass was noted at the greater curvature of the gastric antrum and was enucleated. This mass was proven to be heterotopic pancreatic tissue with cystic neoplasia of the IPMN histologic subtype. Through an extensive search of the literature, we found that this is the first case ever reported with simultaneous existence of IPMN changes, in the main and secondary ducts of the orthotopic pancreas and in the heterotopic pancreatic tissue of the gastric wall.
一位 60 岁的白人男性因主胰管和次要胰管内混合性胰管内乳头状黏液性肿瘤（IPMN）而行全胰切除术。手术过程中，胃窦大弯处发现一浆膜下息肉样肿块，并予以剜除。该肿块被证实为异位胰腺组织，伴有 IPMN 组织学亚型的囊性肿瘤。通过广泛查阅文献，我们发现这是首例报道的同时存在于原位胰腺的主胰管和次要胰管以及胃壁异位胰腺组织中的 IPMN 改变的病例。
