Kriger Andrey G, Gorin David S, Berelavichus Stanislav V, Panteleev Vladimir I, Kaldarov Ayrat R
A.V. Vishnevsky Centre of Surgery, Moscow, Russian Federation.
Gastrointest Tumors. 2020 Oct;7(4):151-155. doi: 10.1159/000509185. Epub 2020 Aug 12.
Intraductal papillary mucinous neoplasm (IPMN) and solid pseudopapillary neoplasm (SPN) are uncommon cystic tumors of the pancreas. The simultaneous occurrence of these 2 pancreatic neoplasms is extremely rare. We present a case of synchronous solid SPN and IPMN - carcinoma in a 44-year-old female patient. An uncommon surgical treatment was performed - pancreatoduodenectomy with the resection of the pancreas body, resection of the mesentericoportal trunk + distal pancreatectomy, and splenectomy. Part of the pancreatic tissue was preserved.
导管内乳头状黏液性肿瘤(IPMN)和实性假乳头状肿瘤(SPN)是胰腺罕见的囊性肿瘤。这两种胰腺肿瘤同时发生极为罕见。我们报告一例44岁女性患者同时发生实性SPN和IPMN-癌的病例。实施了一种罕见的手术治疗——胰十二指肠切除术并切除胰体、切除肠系膜门静脉干+远端胰腺切除术和脾切除术。保留了部分胰腺组织。