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47岁男性胰腺外实性假乳头状瘤伴SMA侵犯诊断的首例病例报告:病例报告及文献综述

First case report of diagnosis of extrapancreatic solid pseudopapillary tumor with SMA invasion in a 47-year-old man: a case report and literature review.

作者信息

Zhang Aijing, Wang Kaibin, Tian Xiaohan, Chen Shuhai, Xu Jianwei, Liu Han, Wang Lei, Li Feng

机构信息

Department of Urology, Qi Lu Hospital of Shandong University, Jinan, China.

Department of Orthopedics, Qi Lu Hospital of Shandong University, Jinan, China.

出版信息

Front Surg. 2024 Aug 6;11:1409564. doi: 10.3389/fsurg.2024.1409564. eCollection 2024.

Abstract

BACKGROUND

Solid pseudopapillary tumor of the pancreas (SPT) is a rare low-grade malignant tumor predominantly observed in young women without significant clinical symptoms. While most SPTs occur in the pancreatic region, rare cases have occurred in the retroperitoneum, making the diagnosis of ectopic SPTs difficult.

CASE PRESENTATION

Herein, we report a rare case of an extrapancreatic solid SPT with superior mesenteric artery (SMA) involvement in a 47-year-old man together with a literature review to provide context with clinical information, CT and a literature review.

CONCLUSIONS

This case may provide a practical approach for the diagnosis of ectopic SPT, especially for patients with vascular invasion.

摘要

背景

胰腺实性假乳头状瘤(SPT)是一种罕见的低级别恶性肿瘤,主要见于年轻女性,临床症状不明显。虽然大多数SPT发生于胰腺区域,但罕见病例发生于腹膜后,这使得异位SPT的诊断具有挑战性。

病例报告

在此,我们报告一例罕见的胰腺外实性SPT累及肠系膜上动脉(SMA)的47岁男性病例,并进行文献复习,以提供临床信息、CT及文献复习的背景。

结论

该病例可为异位SPT的诊断提供实用方法,尤其是对于有血管侵犯的患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/664a/11333202/f78111238015/fsurg-11-1409564-g001.jpg

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