Tamura Shunsuke, Yamamoto Hirotaka, Ushida Shinichiro, Suzuki Kazufumi
Department of Hepato-biliary Pancreatic Surgery.
Department of Gastrointestinal Surgery, Seirei Hamamatsu General Hospital, Shizuoka, Japan.
Rare Tumors. 2017 Oct 3;9(3):7096. doi: 10.4081/rt.2017.7096.
Mucinous cystic neoplasms (MCNs) of the pancreas in male patients are very rare. Though few cases of MCNs in male patients have been reported, it is difficult to reveal them preoperatively. The first patient was a 50-year-old man and was incidentally found to have a cystic mass of 51 mm in the tail of the pancreas. We performed a distal pancreatectomy. The second patient was a 73-year-old man, incidentally found to have a cystic mass of 25 mm in diameter in the tail of the pancreas and a carcinoma of the bile duct. We performed a subtotal stomachpreserving pancreaticoduodenectomy and distal pancreatectomy. In both cases, the cystic lesion was diagnosed pathologically as MCNs. Since MCNs have the risk of malignancy, a resection is recommended. Cases of MCNs in male patients exhibit features that are similar to MCNs in women. We should recognize that MCNs of the pancreas in male patients exists.
男性患者胰腺黏液性囊性肿瘤（MCNs）非常罕见。尽管已有少数男性患者MCNs的病例报道，但术前很难发现它们。首例患者为一名50岁男性，偶然发现胰腺尾部有一个51毫米的囊性肿块。我们实施了远端胰腺切除术。第二例患者是一名73岁男性，偶然发现胰腺尾部有一个直径25毫米的囊性肿块以及胆管癌。我们实施了保留胃的胰十二指肠次全切除术和远端胰腺切除术。在这两例中，囊性病变经病理诊断为MCNs。由于MCNs有恶变风险，建议进行切除。男性患者的MCNs病例表现出与女性MCNs相似的特征。我们应该认识到男性患者胰腺MCNs的存在。
