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胰腺钩突部淋巴上皮囊肿合并慢性胆囊炎:病例报告及文献复习

Lymphoepithelial cyst of uncinated process of the pancreas associated with chronic cholecystitis: Case report and review of literature.

作者信息

Pereira da Costa Aline, Lopes de Castro Gustavo, Lourenço Lira Daniel, Figueiredo Higino Felipe, Castro Cláudio Jozyel, Alexandre Matheus Alecrim

机构信息

General Surgery Service at Samel Hospital, Joaquim Nabuco Av, 1755 - Praça 14 de Janeiro, Manaus, Amazonas, 69020-170, Brazil.

Faculty of Medicine of the Federal University of Amazonas (UFAM), Afonso Pena St, 1053, Praça 14 de Janeiro, Manaus, Amazonas, 69020-160, Brazil.

出版信息

Ann Med Surg (Lond). 2022 Jul 8;80:104117. doi: 10.1016/j.amsu.2022.104117. eCollection 2022 Aug.

Abstract

INTRODUCTION

Lymphoepithelial cysts (LECs) are extremely uncommon disorders with pancreatic affection. It is predominant in middle-aged men and may be located in any portion of the pancreas. Differential diagnosis with malignant conditions is difficult.

CASE PRESENTATION

A 53-year-old woman with abdominal pain and cystic lesion involving pancreas managed thorugh laparoscopic excision and colecistectomy due to chronic cholecystitis.

DISCUSSION AND CONCLUSION

LECs are a type of true cysts that may occur in any portion of the pancreas, most common sites are the tail and body, with unclear pathogenesis. Accuracy in diagnosis with proper image investigation is necessary to separate surgical cases from conservatively managed.

摘要

引言

淋巴上皮囊肿(LECs)是极为罕见的累及胰腺的疾病。多见于中年男性,可位于胰腺的任何部位。与恶性疾病进行鉴别诊断较为困难。

病例介绍

一名53岁女性,因腹痛及胰腺囊性病变就诊,因慢性胆囊炎行腹腔镜切除术及胆囊切除术。

讨论与结论

LECs是一种真性囊肿,可发生于胰腺的任何部位,最常见于胰尾和胰体,发病机制尚不清楚。通过适当的影像学检查准确诊断对于区分手术治疗病例和保守治疗病例很有必要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cef/9422077/36e7f3eb16f2/gr1.jpg

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