胰腺内副脾内的表皮样囊肿。
Epidermoid cyst within an intrapancreatic accessory spleen.
作者信息
Paredes Anghela, Beal Eliza Wright, Dillhoff Mary E
机构信息
Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
Division of Surgical Oncology, Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
出版信息
BMJ Case Rep. 2018 Apr 5;2018:bcr-2017-223600. doi: 10.1136/bcr-2017-223600.
This is a case of an epidermoid cyst in an intrapancreatic accessory spleen at the tail of the pancreas. Concurrent epidermoid cyst within the accessory spleen is an exceedingly rare entity. The patient initially presented with abdominal pain, nausea and vomiting. Imaging studies revealed a 3.6 cm cystic mass in the tail of the pancreas that was concerning for a mucinous cystic neoplasm (MCN). The patient underwent a robotic distal pancreatectomy for a suspected diagnosis of MCN, which following histologically examination was found to be an epidermoid cyst of an intrapancreatic accessory spleen. Further imaging characteristics are needed to characterise and differentiate these lesions from those of malignant potential. Robotic distal pancreatectomy is a safe alternative with many benefits including decreased length of stay and decreased blood loss.
这是一例胰腺尾部胰腺内副脾中的表皮样囊肿病例。副脾内并发表皮样囊肿是一种极其罕见的情况。患者最初表现为腹痛、恶心和呕吐。影像学检查显示胰腺尾部有一个3.6厘米的囊性肿块，怀疑是黏液性囊性肿瘤（MCN）。患者因疑似MCN诊断接受了机器人辅助远端胰腺切除术，术后经组织学检查发现是胰腺内副脾的表皮样囊肿。需要进一步的影像学特征来对这些病变进行特征描述，并将其与具有恶性潜能的病变区分开来。机器人辅助远端胰腺切除术是一种安全的选择，有许多益处，包括缩短住院时间和减少失血。
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