Limaiem Faten, Mestiri Hafedh, Mejri Saloua, Lahmar Ahlem, Mzabi Sabeh
University of Tunis El Manar, Tunis Faculty of Medicine, Tunis, Tunisi.
Pan Afr Med J. 2017 Aug 21;27:283. doi: 10.11604/pamj.2017.27.283.9800. eCollection 2017.
Solid pseudopapillary tumour (SPT) is an unusual pancreatic neoplasm which predominantly affects young women. Less than 10% of patients with SPT in the reported literature were male. In this paper, the authors report two new cases of SPT that occurred in two male patients aged respectively 25 and 20 years old. Abdominal computed tomography scan showed a well-defined heterogeneous mass involving respectively the tail and the body of the pancreas with peripheral calcifications in the first case. The two patients underwent distal splenopancreatectomy. Histopathological examination of the surgical specimen coupled with immunohistochemical study was compatible with solid pseudopapillary tumour. On postoperative day 8, the first patient developed abdominal wall abscess and peritoneal collection. Postoperative course was uneventful for the second patient. In summary, a large, well-encapsulated cystic mass in the pancreas of a young man should raise suspicion of solid pseudopapillary tumour.
实性假乳头状瘤（SPT）是一种罕见的胰腺肿瘤，主要影响年轻女性。在已报道的文献中，SPT患者中男性占比不到10%。在本文中，作者报告了两例新的SPT病例，分别发生在两名年龄为25岁和20岁的男性患者身上。腹部计算机断层扫描显示，第一例患者胰腺尾部和体部有一个边界清晰的不均匀肿块，伴有周边钙化。两名患者均接受了远端脾胰切除术。手术标本的组织病理学检查及免疫组化研究结果均符合实性假乳头状瘤。术后第8天，第一例患者出现腹壁脓肿和腹腔积液。第二例患者术后病程平稳。总之，年轻男性胰腺内出现的一个大的、边界清晰的囊性肿块应怀疑为实性假乳头状瘤。
