Spay G, Mosnier J F, Mangnas D
Département de Chirurgie, Lyon.
Chirurgie. 1994;120(12):107-10.
A patient who was treated in 1978 by duodenopancreatectomy for a tumour of the second duodenum survived for 15 years before death caused by trauma. The pathology slides were therefore reassessed and led, a posteriori, to the diagnosis of solid papillary tumour of the pancreas according to the new criteria described by Kloppel. The 86 references found in the literature reported 139 cases although many were too vague to be retained. Precise diagnosis can only be obtained on the basis of immunohistochemistry and ultra-structure criteria as described here.
一名患者于1978年接受十二指肠胰腺切除术,以治疗十二指肠第二段肿瘤,在因创伤死亡前存活了15年。因此,根据克洛佩尔描述的新标准,对病理切片进行了重新评估,并事后诊断为胰腺实性假乳头状肿瘤。文献中找到的86篇参考文献报道了139例病例,尽管许多病例过于模糊,无法采用。只有根据本文所述的免疫组织化学和超微结构标准才能做出准确诊断。