Steinkraus Kira Carlotta, Mühlberger Michael, Schmidt Stefan Andreas, Kornmann Marko
Department of General and Visceral Surgery, University Hospital Ulm, Ulm, Germany.
Department of Pathology, University Hospital Ulm, Ulm, Germany.
J Surg Case Rep. 2023 Feb 27;2023(2):rjad077. doi: 10.1093/jscr/rjad077. eCollection 2023 Feb.
Acinar cystic transformation (ACT) is a very rare transformation of the pancreas and has been described in less than 100 cases since its first report in 2002. The aim of this case report is to get a better understanding of this pancreatic transformation, which to date appears to be non-malignant. However, radical surgery was performed in most cases due to misinterpreting the initial diagnosis. ACT may be misdiagnosed for intraductal papillary mucinous neoplasms and is currently not included as a potential differential diagnosis for cystic lesions of the pancreas. ACT belongs to the benign cystic alterations of the pancreas. Despite its rarity, it should be considered as a potential differential diagnosis with regard to cystic lesions in the pancreas, especially in order to avoid unnecessary surgery.
腺泡囊性化生（ACT）是一种非常罕见的胰腺化生，自2002年首次报道以来，报道病例不足100例。本病例报告的目的是更好地了解这种胰腺化生，迄今为止它似乎为非恶性。然而，由于对初始诊断的误解，大多数病例都进行了根治性手术。ACT可能被误诊为导管内乳头状黏液性肿瘤，目前它并未被列为胰腺囊性病变的潜在鉴别诊断。ACT属于胰腺的良性囊性改变。尽管它很罕见，但在胰腺囊性病变方面应将其视为潜在的鉴别诊断，特别是为了避免不必要的手术。
