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胰腺实性假乳头状瘤:偶然发现,发病率增高。

Solid pseudopapillary neoplasia of the pancreas: incidental finding with increased frequency.

机构信息

Servicio de Cirugía General y Aparato Digestivo, Hospital Clínico San Cecilio, Granada, España.

出版信息

Cir Cir. 2024;92(5):665-667. doi: 10.24875/CIRU.21000735.

Abstract

In the context of cystic lesions of the pancreas and their paucisymptomatic symptoms, we present the case of a 33-year-old woman with epigastric pain and nonspecific abdominal discomfort. Computed tomography and magnetic resonance imaging were performed, with the finding of a lesion at the level of the head-uncinate process of the pancreas, compatible with a solid pseudopapillary neoplasm of the pancreas. The procedure was performed with a cephalic pancreaticoduodenectomy of Whipple, without incident. After 18 months of follow-up, the disease remains free. It is worth highlighting the importance of images prior to therapeutic planning, due to the proximity of the tumor to the celiac artery in the hepatic artery´s origin.

摘要

在胰腺囊性病变及其症状不明显的情况下,我们报告了一例 33 岁女性患者,其主要表现为上腹痛和非特异性腹部不适。进行了计算机断层扫描和磁共振成像检查,发现胰头钩突水平有一处病变,符合胰腺实性假乳头状瘤。手术采用 Whipple 胰头十二指肠切除术,过程顺利。术后 18 个月随访,疾病仍处于无进展状态。值得强调的是,在治疗计划之前进行影像学检查非常重要,因为肿瘤靠近肝总动脉起源处的腹腔动脉。

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