Dalili Amin, Aliakbarian Mohsen, Karimi-Shahri Mehdi, Samadi Alireza, Raji Sara
Surgical Oncology Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Department of Pathology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Case Rep Surg. 2020 Nov 23;2020:6694904. doi: 10.1155/2020/6694904. eCollection 2020.
. Solid pseudopapillary neoplasm (SPN) is a rare and indolent pancreatic tumor with low malignant potential which frequently occurs in reproductive-age females. Complete resection is almost always the curative option. . We present a 20-year-old woman with acute epigastric pain and vomiting in multiple episodes. Abdominal ultrasound showed a hypoechoic lesion with the probable source in the pancreas. Following that, CT scans and Endoscopic Ultrasound (EUS) manifested a 9 × 7.5 cm-sized hypodense mass with heterogeneous well-defined margins in the pancreas suggesting the diagnosis of SPN. Whipple's procedure was performed. Histopathological examination and immunohistochemistry confirmed SPN without evidence of malignancy. . SPN is known as a tumor with a favorable prognosis and a long survival rate after complete resection. However, some literature focused on minimally invasive surgery as an alternative surgical approach.
实性假乳头状瘤(SPN)是一种罕见的、生长缓慢的胰腺肿瘤,恶性潜能低,常见于育龄女性。几乎总是以完整切除作为治愈选择。我们报告一名20岁女性,多次出现上腹部急性疼痛和呕吐。腹部超声显示一个低回声病变,可能起源于胰腺。随后,CT扫描和内镜超声(EUS)显示胰腺内有一个9×7.5厘米大小的低密度肿块,边界清晰、不均匀,提示SPN诊断。实施了惠普尔手术。组织病理学检查和免疫组化证实为SPN,无恶性证据。SPN是一种预后良好、完整切除后生存率高的肿瘤。然而,一些文献关注将微创手术作为替代手术方法。