Kim Jae Han, Yoon Seung Hyun, Choi Ji Ahn, Kwak Ji Hyeon, Kim Milim, Kim Sung Hyun
Yonsei University College of Medicine, Severance Hospital, Yonsei University Health System, Seoul 03722, The Republic of Korea.
Department of Pathology, Severance Hospital, Yonsei University College of Medicine, Seoul 03722, The Republic of Korea.
J Surg Case Rep. 2023 Aug 22;2023(8):rjad475. doi: 10.1093/jscr/rjad475. eCollection 2023 Aug.
Pancreatic hamartoma is a benign tumor of the pancreas with an extremely low incidence and is commonly diagnosed by pathologic examination after surgery. This report describes the case of a 57-year-old female who was referred for the evaluation of a pancreatic mass and an adrenal incidentaloma. Further imaging studies suggested pancreatic neuroendocrine tumor and aldosterone-producing adrenal tumor. Pylorus-preserving pancreaticoduodenectomy was performed with the initial impression of a pancreatic neuroendocrine tumor. However, pathology results revealed a pancreatic hamartoma. Multiple endocrine neoplasia type 1 syndrome was discussed as a probable explanation for tumor masses in both the pancreas and adrenal gland.
胰腺错构瘤是一种发病率极低的胰腺良性肿瘤，通常在手术后通过病理检查确诊。本报告描述了一名57岁女性的病例，该患者因胰腺肿块和肾上腺偶发瘤接受评估。进一步的影像学检查提示为胰腺神经内分泌肿瘤和分泌醛固酮的肾上腺肿瘤。最初考虑为胰腺神经内分泌肿瘤而行保留幽门的胰十二指肠切除术。然而，病理结果显示为胰腺错构瘤。讨论了1型多发性内分泌肿瘤综合征作为胰腺和肾上腺肿瘤肿块的可能解释。
