胰腺反应性淋巴组织增生：一个临床难题。
Reactive lymphoid hyperplasia of the pancreas: a clinical conundrum.
作者信息
Christophides Thalis, Frampton Adam E, Cohen Patrizia, Gall Tamara M H, Jiao Long R, Habib Nagy A, Pai Madhava
机构信息
HPB Surgical Unit, Department of Surgery and Cancer, Imperial College Healthcare NHS Trust, Hammersmith Hospital campus, London, United Kingdom.
出版信息
JOP. 2013 Mar 10;14(2):207-11. doi: 10.6092/1590-8577/1327.
CONTEXT
Localized reactive lymphoid hyperplasia is a rare condition characterized by the presence of lymphoid follicles.
CASE REPORT
We describe a case of a 60-year-old woman who presented with right upper quadrant pain and was found to have a reactive nodular hyperplasia of the pancreas involving the uncinate process, body and tail of the gland. Due to the multifocal distribution of these hypoechoic vascular lesions, a total pancreatectomy was performed since malignancy could not be safely excluded.
CONCLUSION
There have been a handful of cases reporting reactive lymphoid hyperplasia affecting the pancreas; however, it is uncommon to perform such a radical pancreatic resection for this benign condition.
背景
局限性反应性淋巴组织增生是一种罕见疾病，其特征为存在淋巴滤泡。
病例报告
我们描述了一例60岁女性患者，该患者出现右上腹疼痛，经检查发现胰腺反应性结节性增生，累及胰腺钩突、体部和尾部。由于这些低回声血管病变呈多灶性分布，鉴于无法安全排除恶性肿瘤的可能，遂行全胰切除术。
结论
已有少数病例报道反应性淋巴组织增生累及胰腺；然而，针对这种良性疾病进行如此根治性的胰腺切除术并不常见。
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