Duraisami Puvitha Rajeswari, Malaichamy Vinuta, Chithambaram Lalitha
Senior Assistant Professor, Department of Pathology, Coimbatore Medical College , Coimbatore, Tamil Nadu, India .
Professor and Head, Department of Pathology, Coimbatore Medical College , Coimbatore, Tamil Nadu, India .
J Clin Diagn Res. 2015 Oct;9(10):ED09-10. doi: 10.7860/JCDR/2015/12245.6627. Epub 2015 Oct 1.
Cystic tumours of the pancreas are less common, representing 5% to 10% of all pancreatic neoplasms. They constitute an important subset because many cystic tumour are either benign or low-grade (indolent) malignant neoplasm. Cystic lesions are also detected more commonly owing to the increased use of sensitive imaging techniques. A female patient 48-year-old, presented with upper abdominal symptoms. CT abdomen reveals a large multicystic mass with central scar shows no communication with pancreatic duct. Resected specimen, show a large lobulated mass with central scar and many small cysts. Microscopic examination confirms the diagnosis of serous adenoma. PAS positivity is used to demonstrate the glycogen content of the lining epithelium.
胰腺囊性肿瘤较为少见,占所有胰腺肿瘤的5%至10%。它们构成了一个重要的亚组,因为许多囊性肿瘤要么是良性的,要么是低级别(惰性)恶性肿瘤。由于敏感成像技术的使用增加,囊性病变也更常被检测到。一名48岁女性患者出现上腹部症状。腹部CT显示一个有中央瘢痕的大的多囊性肿块,与胰管无相通。切除标本显示一个有中央瘢痕和许多小囊肿的大的分叶状肿块。显微镜检查确诊为浆液性腺瘤。过碘酸雪夫反应阳性用于显示衬里上皮的糖原含量。