胰腺内副脾表皮样囊肿的恶性转化：一例报告
Malignant Transformation of an Epidermoid Cyst in an Intrapancreatic Accessory Spleen: A Case Report.
作者信息
Wang Jiyoung, Kang Won Jun, Cho Hojin
机构信息
1Department of Nuclear Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, 03722 South Korea.
2Department of Nuclear Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, 03722 South Korea.
出版信息
Nucl Med Mol Imaging. 2020 Feb;54(1):58-60. doi: 10.1007/s13139-019-00631-9. Epub 2019 Dec 21.
A 33-year-old man was evaluated because of an incidentally found cyst in the pancreatic tail, which was first seen 6 years ago. The cyst was a unilocular cystic mass, 13.0 cm in diameter, and had increased in size in last 2 months. On F-18 fluorodeoxyglucose positron emission tomography/computed tomography (FDG PET/CT), the cystic wall showed increased FDG uptake. The patient underwent distal pancreatectomy with suspicion of mucinous cystic neoplasm of the pancreas. The mass turned out to be a squamous carcinoma arising from an epidermoid cyst in an intrapancreatic accessory spleen (ECIPAS). FDG PET/CT may assist recognition of a potential malignant lesion arising from an ECIPAS.
一名33岁男性因偶然发现胰尾部囊肿而接受评估，该囊肿于6年前首次发现。囊肿为单房囊性肿块，直径13.0厘米，在过去2个月内大小有所增加。在F-18氟脱氧葡萄糖正电子发射断层扫描/计算机断层扫描（FDG PET/CT）检查中，囊肿壁显示FDG摄取增加。患者因怀疑胰腺黏液性囊性肿瘤而接受了胰腺远端切除术。结果发现肿块是起源于胰腺内副脾表皮样囊肿（ECIPAS）的鳞状细胞癌。FDG PET/CT可能有助于识别起源于ECIPAS的潜在恶性病变。
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