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胰腺异位的细胞学表现——恶性肿瘤的一个潜在陷阱:病例报告及文献综述

Cytology findings in pancreatic heterotopia, a potential pitfall for malignancy: a case report and literature review.

作者信息

Raddaoui Emad, Al-Sharabi Abdulsalam, Almadi Majid A

机构信息

Division of Pathology, King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia, .

出版信息

Saudi J Gastroenterol. 2015 Mar-Apr;21(2):116-8. doi: 10.4103/1319-3767.153841.

DOI:10.4103/1319-3767.153841
PMID:25843199
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4392572/
Abstract

Pancreatic heterotopia is a rare congenital disorder occurring at a variety of sites in the gastrointestinal tract. It is rarely symptomatic. Despite advances in diagnostic techniques, it still remains a challenge to the clinician to differentiate it from a neoplasm. Cytologic characteristics of pancreatic heterotopia in general are rarely described in the literature. We report the cytologic characteristics of heterotopic pancreatic tissue at the gastric outlet in a 48-year-old female. The patient underwent surgical excision due to symptoms related to the lesion. Endoscopic ultrasound fine-needle aspiration is increasingly used for the diagnosis of gastrointestinal tumors, which makes the recognition of certain endoscopically unreachable lesions an important step in optimal patient management.

摘要

胰腺异位是一种罕见的先天性疾病,可发生于胃肠道的多个部位。它很少有症状。尽管诊断技术不断进步,但对临床医生来说,将其与肿瘤区分开来仍是一项挑战。胰腺异位的细胞学特征在文献中总体上很少被描述。我们报告了一名48岁女性胃出口处异位胰腺组织的细胞学特征。该患者因与病变相关的症状接受了手术切除。内镜超声细针穿刺越来越多地用于胃肠道肿瘤的诊断,这使得识别某些内镜无法到达的病变成为优化患者管理的重要一步。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b43d/4392572/3019f22c6d90/SJG-21-116-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b43d/4392572/e48e7ba61cc4/SJG-21-116-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b43d/4392572/41378d6fd829/SJG-21-116-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b43d/4392572/3019f22c6d90/SJG-21-116-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b43d/4392572/e48e7ba61cc4/SJG-21-116-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b43d/4392572/41378d6fd829/SJG-21-116-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b43d/4392572/3019f22c6d90/SJG-21-116-g003.jpg

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本文引用的文献

1
Adenocarcinoma arising from heterotopic pancreas in the duodenum.十二指肠异位胰腺来源的腺癌。
Int Surg. 2012 Oct-Dec;97(4):351-5. doi: 10.9738/CC148.1.
2
Upper gastrointestinal submucosal lesions--clinical and endosonographic evaluation and management.上消化道黏膜下病变——临床及内镜超声评估与处理
Trop Gastroenterol. 2010 Jan-Mar;31(1):5-29.
3
Prospective comparison of endoscopic ultrasound-guided fine-needle aspiration and surgical histology in upper gastrointestinal submucosal tumors.内镜超声引导下细针抽吸与手术组织学在上消化道黏膜下肿瘤的前瞻性比较。
Endoscopy. 2010 Apr;42(4):300-5. doi: 10.1055/s-0029-1244006. Epub 2010 Mar 19.
4
Adenocarcinoma arising in a heterotopic pancreas (Heinrich type III): a case report.异位胰腺发生的腺癌(海因里希III型):一例报告。
J Med Case Rep. 2010 Feb 6;4:39. doi: 10.1186/1752-1947-4-39.
5
Heterotopic pancreatic tissue obstructing the gallbladder neck: a case report.异位胰腺组织阻塞胆囊颈部:一例报告
JOP. 2009 Sep 4;10(5):532-4.
6
Changing pattern of ectopic pancreas: 22 years of experience in a medical center.异位胰腺的变化模式:一家医疗中心22年的经验
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Ectopic pancreas presenting as ampulla of Vater tumor.表现为壶腹肿瘤的异位胰腺。
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Heterotopic pancreas in the stomach: a case report and literature review.胃内异位胰腺:一例报告并文献复习
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Heterotopic pancreas in the gallbladder: the importance of an uncommon condition.
Pancreas. 2007 May;34(4):488-91. doi: 10.1097/MPA.0b013e31803816fc.
10
Diagnosis and treatment of gastric heterotopic pancreas.胃异位胰腺的诊断与治疗
World J Surg. 2006 Sep;30(9):1682-9. doi: 10.1007/s00268-005-0669-6.