Mannell A, Obers V
Department of Surgery, School of Pathology, South African Institute for Medical Research, Johannesburg.
S Afr J Surg. 1990 Mar;28(1):26-7.
A rare case of pancreatic candidiasis is described. The patient presented with weight loss, obstructive jaundice and a mass in the head of the pancreas. Intra-operative fine-needle aspiration cytology was consistent with a well-differentiated adenocarcinoma of the pancreas and a radical pancreaticoduodenectomy was performed. However, histological examination of the resected specimen revealed acute-on-chronic pancreatitis complicated by candidiasis with no evidence of malignant disease. The association between this variety of pancreatic candidiasis and pancreatic abscesses due to Candida albicans in acute pancreatitis is discussed.
本文描述了一例罕见的胰腺念珠菌病病例。患者表现为体重减轻、梗阻性黄疸和胰头肿块。术中细针穿刺细胞学检查结果与胰腺高分化腺癌相符,遂行根治性胰十二指肠切除术。然而,切除标本的组织学检查显示为慢性胰腺炎急性发作并伴有念珠菌病,未见恶性病变迹象。本文还讨论了这种类型的胰腺念珠菌病与急性胰腺炎中白色念珠菌引起的胰腺脓肿之间的关联。