一名39岁女性，左上腹及右肺患有胰腺黏液性囊腺癌：病例报告。
A 39 year-old woman with a mucinous cystadenocarcinoma of pancreas in the left upper abdomen and right lung: A case report.
作者信息
Rouzbahani Arian Karimi, Amiri Bahar, Yaghoubi Behzad, Hadimaleki Sepideh, Shahmoradi Mohammad Kazem, Pajouhi Ali
机构信息
Student Research Committee, Lorestan University of Medical Sciences, Khorramabad, Iran.
Department of Pathology, Imam Reza Hospital, Tabriz University of Medical Sciences, Tabriz, Iran.
出版信息
Int J Surg Case Rep. 2025 Sep;134:111813. doi: 10.1016/j.ijscr.2025.111813. Epub 2025 Aug 15.
INTRODUCTION AND IMPORTANCE
Mucinous cystic pancreatic neoplasms (MCPNs) are cystic lesions often seen in the body and tail of the pancreas.
CASE PRESENTATION
In the case reported here, we presented a 39-year-old woman with complaints of upper abdominal pain. It presents with a variety of signs and symptoms, the most common being upper abdominal pain, early satiety, and dyspnea.
CLINICAL DISCUSSION
The diagnosis of MCPN was done postoperatively based on pathological and immunohistochemical studies. She underwent two operations: a midline laparotomy to remove the retroperitoneal mass, and a posterolateral thoracotomy to remove the pulmonary mass. To the best of our knowledge, this is the first reported case of mucinous cystadenocarcinoma of the pancreas in the left upper abdomen, invaded as a pulmonary mass in the right lung.
CONCLUSION
MCPNs frequently appear in the pancreatic body and tail. They can also be found in the mediastinum.
引言与重要性
黏液性囊性胰腺肿瘤（MCPNs）是胰腺体尾部常见的囊性病变。
病例介绍
在此报告的病例中，我们呈现了一名39岁的女性，主诉上腹部疼痛。它表现出多种体征和症状，最常见的是上腹部疼痛、早饱感和呼吸困难。
临床讨论
MCPN的诊断是在术后通过病理和免疫组化研究做出的。她接受了两次手术：一次中线剖腹术以切除腹膜后肿块，一次后外侧开胸术以切除肺部肿块。据我们所知，这是首例报告的左上腹胰腺黏液性囊腺癌，侵袭至右肺形成肺部肿块的病例。
结论
MCPNs常出现在胰腺体尾部。它们也可在纵隔中发现。
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