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胰腺淋巴管瘤:一例病例报告及文献综述

Pancreatic Lymphangioma: A Case Report and Literature Review.

作者信息

Karajgikar Jay, Deshmukh Sandeep

机构信息

Department of Radiology, Thomas Jefferson University School of Medicine, Philadelphia, PA.

出版信息

J Comput Assist Tomogr. 2019 Mar/Apr;43(2):242-244. doi: 10.1097/RCT.0000000000000818.

Abstract

We report a case of a 29-year-old woman with a pancreatic lymphangioma who presented clinically as a case of acute pancreatitis. Lymphangiomas are benign tumors of vascular origin with lymphatic differentiation, most commonly found in the head and neck. Pancreatic lymphangiomas are extremely rare, accounting for only 1% of abdominal lymphangiomas, with approximately 60 cases reported in the literature. Although imaging findings are characteristic and can point to the diagnosis, confirmation with fine needle aspiration and histopathologic correlation is necessary. Although these lesions are benign, they can often present a diagnostic dilemma and can be mistaken for other cystic pancreatic lesions, namely, pseudocysts, cysts, cystadenomas, and cystadenocarcinomas.

摘要

我们报告一例29岁患有胰腺淋巴管瘤的女性病例,该病例临床上表现为急性胰腺炎。淋巴管瘤是起源于血管且具有淋巴分化的良性肿瘤,最常见于头颈部。胰腺淋巴管瘤极为罕见,仅占腹部淋巴管瘤的1%,文献中报道的病例约有60例。尽管影像学表现具有特征性且可提示诊断,但仍需通过细针穿刺抽吸及组织病理学关联来确诊。虽然这些病变是良性的,但它们常常会带来诊断难题,并且可能被误诊为其他胰腺囊性病变,即假性囊肿、囊肿、囊腺瘤和囊腺癌。

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