Mori K, Takeyama S, Hirosawa H, Watanabe T, Taniya T, Arakawa H, Nagakawa T, Ohta T, Miyazaki I, Nakanuma Y
Department of Surgery, Kurobe Municipal Hospital, Japan.
Int J Pancreatol. 1995 Feb;17(1):91-3. doi: 10.1007/BF02788363.
A case of macrocystic serous cystadenoma of the pancreas is presented, and literature is reviewed. A 35-yr-old woman presented with mild upper abdominal pain. Abdominal ultrasonography and an abdominal computed tomography revealed a multiloculated and calcified cyst in the body of the pancreas. A T1-weighted image, using magnetic resonance imaging, revealed a low-intensity multiloculated, pancreatic mass. In contrast, T2-imaging of the tumor showed a high-intensity mass. Endoscopic retrograde cholangiopancreatography showed no contact between the main pancreatic duct and the tumor. The preoperative diagnosis was a mucinous cystic neoplasm. Tumor enucleation was performed. Subsequent microscopic examination of this tumor suggested the diagnosis of a macrocystic serous cystadenoma of the pancreas.
本文报告一例胰腺大囊型浆液性囊腺瘤，并对相关文献进行综述。一名35岁女性因轻度上腹部疼痛就诊。腹部超声和腹部计算机断层扫描显示胰腺体部有一个多房性钙化囊肿。磁共振成像的T1加权图像显示胰腺有一个低强度多房性肿块。相比之下，肿瘤的T2成像显示为高强度肿块。内镜逆行胰胆管造影显示主胰管与肿瘤无接触。术前诊断为黏液性囊性肿瘤。行肿瘤剜除术。随后对该肿瘤进行显微镜检查，提示诊断为胰腺大囊型浆液性囊腺瘤。
