Jyotheeswaran S, Zotalis G, Penmetsa P, Levea C M, Schoeniger L O, Shah A N
Department of Surgery, Konar Center For Digestive and Liver Diseases, Strong Memorial Hospital, University of Rochester Medical Center, New York 14642, USA.
Am J Gastroenterol. 1998 Dec;93(12):2539-43. doi: 10.1111/j.1572-0241.1998.00714.x.
Intraductal papillary-mucinous tumors of the pancreas are increasingly recognized, and their characteristic endoscopic and radiological features are well reported in the literature in recent years. Oncocytic features in these tumors are uncommon and unrecognized. Intraductal oncocytic papillary neoplasm is a distinct pancreatic tumor and is a recently recognized entity. We report a case of a 69-yr-old patient who presented with symptoms mimicking pancreatitis, resulting in delay in the diagnosis of her pancreatic tumor. She underwent a successful Whipple's procedure and subsequently has remained well. The resected specimen showed an intraductal oncocytic papillary-mucinous neoplasm. The entity is new and the literature information is inadequate at present to judge the biological behavior of this tumor. We discuss this recently recognized entity.
胰腺导管内乳头状黏液性肿瘤越来越受到关注，近年来其特征性的内镜及影像学表现已有大量文献报道。这些肿瘤中的嗜酸性细胞特征并不常见且未被充分认识。导管内嗜酸性乳头状肿瘤是一种独特的胰腺肿瘤，是最近才被认识的实体。我们报告一例69岁患者，其症状类似胰腺炎，导致胰腺肿瘤诊断延迟。她接受了成功的惠普尔手术，术后恢复良好。切除标本显示为导管内嗜酸性乳头状黏液性肿瘤。该实体是新发现的，目前文献资料不足，难以判断该肿瘤的生物学行为。我们对这一最近才被认识的实体进行讨论。
