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一名50岁男性胰腺实性假乳头状肿瘤:病例报告及文献复习

Solid Pseudopapillary Tumor of the Pancreas in a 50-Year-Old Man: A Case Report and Review of the Literature.

作者信息

Hongjian Xie, Dujuan Li, Shuang Xue, Yuewu Zhao, Lingfei Kong

机构信息

Department of Pathology, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, Zhengzhou, People's Republic of China.

出版信息

Case Rep Pancreat Cancer. 2016 Apr 1;2(1):23-27. doi: 10.1089/crpc.2016.0002. eCollection 2016.

Abstract

A solid pseudopapillary tumor (SPT) of the pancreas is a rare neoplasm with low malignancy, constituting about 2% of pancreatic tumors, which mainly occurs in young women. We herein report a case of a small SPT arising from the head of the pancreas in an asymptomatic 50-year-old man. This patient was admitted to our department at Henan Provincial People's Hospital for the evaluation of a pancreatic mass and a pancreatic resection was performed. Histology revealed the lesion to be an SPT of the pancreas, with the characteristic pseudopapilla formation, central degeneration, and capsule formation. The tumor was positive for vimentin, CD10, α1-antichymotrypsin, α1-antitrypsin, β-catenin, neuron-specific enolase, synaptophysin, and progesterone receptor. We diagnosed an SPT in the patient based on these histological findings and immunophenotype.

摘要

胰腺实性假乳头状肿瘤(SPT)是一种罕见的低度恶性肿瘤,约占胰腺肿瘤的2%,主要发生于年轻女性。我们在此报告一例发生于一名50岁无症状男性胰头的小SPT病例。该患者因胰腺肿物入住河南省人民医院我院,接受了胰腺切除术。组织学检查显示病变为胰腺SPT,具有特征性的假乳头形成、中央变性和包膜形成。肿瘤波形蛋白、CD10、α1-抗糜蛋白酶、α1-抗胰蛋白酶、β-连环蛋白、神经元特异性烯醇化酶、突触素和孕激素受体呈阳性。基于这些组织学发现和免疫表型,我们诊断该患者为SPT。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9daf/6319678/130f28696744/fig-1.jpg

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