Aranha G V, Simples P E, Veselik K
Department of Surgery, Loyola University Stritch School of Medicine, Maywood, IL, USA.
Int J Pancreatol. 1995 Feb;17(1):95-7. doi: 10.1007/BF02788364.
A 45-yr-old female patient was admitted with signs and symptoms of acute pancreatitis. She had no history of gallstones, alcohol, or trauma. Her CT scan was consistent with a cystic lesion of the pancreas. Because of her presenting symptoms and signs, she was initially treated as an acute pancreatitis. Followup CT scan showed absolutely no change in the cyst. Surgical consultation was requested. A diagnosis of a neoplastic cyst was made, and the patient was taken to surgery where a distal pancreatectomy and splenectomy was performed. Pathology revealed a leiomyosarcoma of the pancreas. Only 15 other cases of leiomyosarcoma of the pancreas have been reported thus far in literature.
一名45岁女性患者因急性胰腺炎的症状和体征入院。她没有胆结石、酗酒或外伤史。她的CT扫描显示胰腺有一个囊性病变。由于她的症状和体征，最初被当作急性胰腺炎治疗。后续CT扫描显示囊肿完全没有变化。于是请求外科会诊。诊断为肿瘤性囊肿，患者接受手术，进行了胰腺远端切除术和脾切除术。病理显示为胰腺平滑肌肉瘤。迄今为止，文献中仅报道过另外15例胰腺平滑肌肉瘤病例。
