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胰尾浆液性囊腺瘤保脾治疗——病例报告

Spleen preservation in a caudal pancreatic serous cystadenoma - case report.

作者信息

Dina I, Ginghina O, Iacobescu C, Vrabie C, Gidea C, Munteanu R, Iosifescu R, Iordache N

机构信息

Gastroenterology Clinic, "Sf. Ioan" Emergency Hospital, Bucharest, Romania.

Surgical Clinic, "Sf. Ioan" Emergency Hospital, Bucharest, Romania.

出版信息

J Med Life. 2015 Jan-Mar;8(1):106-8.

Abstract

Cystic lesions of the pancreas are relatively rare entities but have been increasingly diagnosed in recent years due to advanced imaging techniques. This category encompasses pancreatic pseudocyst as well as a wide range of pancreatic tumors with benign behavior, borderline or primary malignant. Serous cystadenoma of the pancreas represents the most common benign pancreatic tumor, with a very low but well recognized malignant potential. The clinical presentation varies according to its size; small tumors may be asymptomatic and discovered incidentally, while large tumors are more likely symptomatic. We report the case of a female patient presenting with non-specific left abdominal pain, who was diagnosed through a CT scan with a caudal pancreatic tumor. The patient underwent spleen-preserving distal pancreatectomy. The result of the histopathological examination revealed a serous cystadenoma.

摘要

胰腺囊性病变相对少见,但近年来由于先进的成像技术,其诊断率不断提高。这一类别包括胰腺假性囊肿以及一系列具有良性行为、临界性或原发性恶性的胰腺肿瘤。胰腺浆液性囊腺瘤是最常见的胰腺良性肿瘤,其恶性潜能很低但已得到充分认识。临床表现因其大小而异;小肿瘤可能无症状,偶然发现,而大肿瘤更可能有症状。我们报告一例以非特异性左腹痛就诊的女性患者,通过CT扫描诊断为胰尾肿瘤。患者接受了保留脾脏的远端胰腺切除术。组织病理学检查结果显示为浆液性囊腺瘤。

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