Lee Jee Yeon, Seo Hyung-Il, Park Eun Young, Kim Gwang Ha, Park Do Youn, Kim Suk
Department of Surgery, Pusan National University School of Medicine, Yangsan, Korea.
J Korean Surg Soc. 2011 Dec;81(6):427-30. doi: 10.4174/jkss.2011.81.6.427. Epub 2011 Nov 25.
Pancreatic lipomas are commonly diagnosed based on radiologic images, although the prevalence of lipomas has not been established. Histologic confirmation of pancreatic lipomas is extremely rare because surgical treatment is unnecessary in most cases. Endoscopic ultrasound-guided fine-needle aspiration cytology has been suggested to avoid unnecessary surgery to distinguish between a lipoma and a well-differentiated liposarcoma; however, surgery would be needed when the tumor is associated with symptoms or difficult to distinguish from a liposarcoma. We present a case of a pancreatic lipoma in a 54-year-old male patient that was histologically-confirmed by subtotal pancreatectomy.
胰腺脂肪瘤通常根据放射影像进行诊断，不过脂肪瘤的患病率尚未明确。胰腺脂肪瘤的组织学确诊极为罕见，因为大多数情况下无需手术治疗。有人建议采用内镜超声引导下细针穿刺抽吸细胞学检查，以避免在区分脂肪瘤和高分化脂肪肉瘤时进行不必要的手术；然而，当肿瘤伴有症状或难以与脂肪肉瘤区分时，则需要进行手术。我们报告一例54岁男性患者的胰腺脂肪瘤病例，该病例通过胰腺次全切除术获得了组织学确诊。
