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胰腺实性假乳头状肿瘤:一例报告。

Solid and cystic pseudopapillary tumor of the pancreas: A case report.

作者信息

Milojević Bojan Z, Marković Rade M, Cvetković Aleksandar M

机构信息

Department of Gastrointestinal Surgery, Clinic for Surgery, Clinical Center Kragujevac, Kragujevac, Serbia.

出版信息

Srp Arh Celok Lek. 2013 May-Jun;141(5-6):384-6. doi: 10.2298/sarh1306384m.

Abstract

INTRODUCTION

Solid and cystic pseudopapillary tumor of the pancreas is a rare tumor of the pancreas, for the first time described by Frantz et al. in 1959. The majority of patients are young females and most of them are asymptomatic.

CASE OUTLINE

We report a case of 25-year old woman who was admitted to our institution with abdominal pain and a palpable mass in the left hypochondrial area. US and CT scan revealed a solid and cystic pseudopapillary tumor in the head of the pancreas. The patient was treated by Whipple procedure, modification Longmire-Traverso. There was no metastatic disease either in the liver or peritoneum. Histologically the tumor was diagnosed as a solid and cystic pseudopapillary tumor of the pancreas.

CONCLUSION

The unclear pre-operative diagnoses, together with incidence of potential malignancy as well as good outcome with resection, suggest that all suspected cystic tumors of the pancreas should be resected.The exact diagnosis is based on histological findings.

摘要

引言

胰腺实性假乳头状肿瘤是一种罕见的胰腺肿瘤,1959年由弗兰兹等人首次描述。大多数患者为年轻女性,且大多数无症状。

病例概述

我们报告一例25岁女性,因腹痛和左季肋区可触及肿块入住我院。超声和CT扫描显示胰腺头部有实性假乳头状肿瘤。患者接受了改良的朗迈尔-特拉弗索胰十二指肠切除术。肝脏和腹膜均无转移性疾病。组织学检查诊断该肿瘤为胰腺实性假乳头状肿瘤。

结论

术前诊断不明确,潜在恶性肿瘤的发生率以及切除后的良好预后表明,所有疑似胰腺囊性肿瘤均应切除。确切诊断基于组织学检查结果。

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