Inoue Tadahisa, Nishi Yuji, Okumura Fumihiro, Mizushima Takashi, Nishie Hirotada, Iwasaki Hiroyasu, Anbe Kaiki, Ozeki Takanori, Kachi Kenta, Fukusada Shigeki, Suzuki Yuta, Mizuno Akira, Kajikawa Masaki, Watanabe Kazuko, Sano Hitoshi
Department of Gastroenterology, Gifu Prefectural Tajimi Hospital, Japan.
Intern Med. 2015;54(11):1349-55. doi: 10.2169/internalmedicine.54.4061. Epub 2015 Jun 1.
A man in his thirties visited our hospital for an evaluation of a 12×10-mm pancreatic solid tumor that was accidentally detected on computed tomography performed for follow-up of familial adenomatous polyposis (FAP). We diagnosed the patient with a solid pseudopapillary neoplasm (SPN) based on endoscopic ultrasound-guided fine-needle aspiration, and he underwent pancreaticoduodenectomy. Small SPN tumors appear as solid tumors, without typical features of SPN, making the definitive diagnosis more difficult. The genetic background of FAP patients can predispose them to SPN, and imaging of the pancreas should be performed at prescribed intervals in FAP patients.
一名30多岁的男性因对家族性腺瘤性息肉病（FAP）进行随访的计算机断层扫描偶然发现一个12×10毫米的胰腺实性肿瘤而前来我院评估。基于内镜超声引导下细针穿刺活检，我们诊断该患者为实性假乳头状肿瘤（SPN），随后他接受了胰十二指肠切除术。小型SPN肿瘤表现为实性肿瘤，不具备SPN的典型特征，这使得明确诊断更加困难。FAP患者的遗传背景使其易患SPN，因此应定期对FAP患者进行胰腺成像检查。
