异位胰腺肿瘤表现为十二指肠第四部的阻塞性肿块。
Heterotopic pancreatic neoplasm presenting as an obstructing mass at the fourth portion of the duodenum.
作者信息
Stock Cameron, Keutgen Xavier M, Pisapia David, Crawford Carl, Zarnegar Rasa
机构信息
Division of Minimally Invasive and Endocrine Surgery, Department of Surgery, New York Presbyterian Hospital, Weill Cornell Medical Center, New York, NY, USA.
出版信息
JOP. 2011 May 6;12(3):241-3.
CONTEXT
Heterotopic pancreatic adenocarcinoma is a rare finding at laparotomy. Herein we present the case of a patient with malignant transformation of a heterotopic pancreas located in the fourth portion of the duodenum.
CASE REPORT
A 79-year-old woman was admitted to the surgery service with complaints of early satiety and abdominal fullness progressively worsening over the previous two years. A computed tomography scan of the abdomen and an upper endoscopy revealed an obstructing mass in the fourth portion of the duodenum, biopsies were negative for carcinoma. A segmentectomy of the third and fourth portions of the duodenum was performed. Post-operative histology revealed malignant transformation of a heterotopic pancreas. The patient had an unremarkable postoperative recovery and was discharged home.
CONCLUSION
In evaluation of patients with distal duodenal masses, we report that heterotopic pancreatic neoplasms should be considered in the differential diagnosis.
背景
异位胰腺腺癌在剖腹手术中是一种罕见的发现。在此，我们报告一例位于十二指肠第四段的异位胰腺发生恶性转化的患者病例。
病例报告
一名79岁女性因近两年来逐渐加重的早饱感和腹部胀满感入住外科。腹部计算机断层扫描和上消化道内镜检查显示十二指肠第四段有阻塞性肿块，活检结果为癌阴性。对十二指肠第三段和第四段进行了节段切除术。术后组织学检查显示异位胰腺发生了恶性转化。患者术后恢复顺利，出院回家。
结论
在评估十二指肠远端肿块患者时，我们报告在鉴别诊断中应考虑异位胰腺肿瘤。
Zotero 插件