Yoshikawa Akane, Ryu Yasuji, Takata Harumi, Asaumi Yoshihide, Sakatoku Mitsuaki, Terahata Shintaro
Department of Radiology, Tonami General Hospital, Tonami, Japan.
Department of Surgery, Tonami General Hospital, Tonami, Japan.
BJR Case Rep. 2017 Mar 10;3(3):20170008. doi: 10.1259/bjrcr.20170008. eCollection 2017.
A solid pseudopapillary neoplasm (SPN) is an uncommon pancreatic tumour that usually occurs in young women. Tumours outside the pancreas (e.g. in the ovary, retroperitoneum or omentum) are rare. We report a case of an SPN arising from the greater omentum in a 78-year-old male who presented with a month-long history of abdominal pain and a palpable abdominal mass. Laboratory data showed inflammation and anaemia. CT and magnetic resonance imaging revealed a well-defined encapsulated mass measuring 18 cm in the upper right abdomen. The tumour was completely removed via surgery, and pathologic examination confirmed a diagnosis of an SPN in the greater omentum.
实性假乳头状肿瘤(SPN)是一种罕见的胰腺肿瘤,通常发生于年轻女性。胰腺外的肿瘤(如卵巢、腹膜后或大网膜)罕见。我们报告一例78岁男性大网膜来源的SPN,患者有长达1个月的腹痛病史且可触及腹部肿块。实验室检查显示有炎症和贫血。CT和磁共振成像显示右上腹有一个边界清晰的包膜完整的肿块,大小为18厘米。肿瘤通过手术完全切除,病理检查证实为大网膜SPN。