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胰腺巨大血淋巴管瘤:一例报告并文献复习

A giant hemolymphangioma of the pancreas: A case report and literature review.

作者信息

Chen Qingyu, Xia Jianguo

机构信息

Taizhou People's Hospital, Taizhou, Jiangsu, China.

出版信息

Medicine (Baltimore). 2018 Oct;97(41):e12599. doi: 10.1097/MD.0000000000012599.

Abstract

RATIONALE

Hemolymphangioma of the pancreas is an extremely rare benign tumor; only 10 patients with this disease have been reported to date, the majority of whom were women.

PATIENT CONCERNS

We describe a 28-year-old man who presented with abdominal pain and discomfort. Computed tomography and magnetic resonance imaging data showed a huge heterogeneous solid cystic mass at the retroperitoneal pancreatic head. The maximum cross-sectional lengths of the pancreatic lesion were approximately 12 × 8.5 × 12 cm.

DIAGNOSIS

Hemolymphangioma of the pancreas.

INTERVENTIONS

The patient underwent a pylorus-preserving pancreatoduodenectomy; surgical excision is the main treatment for this type of tumor.

OUTCOMES

The patient followed up regularly in the outpatient department for 6 months after surgery, and no sign of recurrence was found.

LESSONS

Although it is uncommon, clinicians ought to consider the diagnosis of hemolymphangioma of the pancreas upon detection of a pancreatic cystic lesion exhibiting fat or calcification.

摘要

原理

胰腺血淋巴管瘤是一种极其罕见的良性肿瘤;迄今为止,仅报道过10例该疾病患者,其中大多数为女性。

患者情况

我们描述了一名28岁男性,他出现腹痛和不适。计算机断层扫描和磁共振成像数据显示,在胰头腹膜后有一个巨大的异质性实性囊性肿块。胰腺病变的最大横截面尺寸约为12×8.5×12厘米。

诊断

胰腺血淋巴管瘤。

干预措施

患者接受了保留幽门的胰十二指肠切除术;手术切除是这类肿瘤的主要治疗方法。

结果

患者术后在门诊定期随访6个月,未发现复发迹象。

经验教训

尽管罕见,但临床医生在检测到表现出脂肪或钙化的胰腺囊性病变时,应考虑胰腺血淋巴管瘤的诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/156a/6203553/11868e0f4af6/medi-97-e12599-g001.jpg

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