实性假乳头状瘤--对一例极为罕见的年轻胰腺肿瘤的治疗

Q4 Pharmacology, Toxicology and Pharmaceutics
Valentin Daniealopol, R. Neagoe, D. T. Sala, B. I. Kiss, Ruxandra Daniealopol
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引用次数: 0

摘要

摘要 简介:弗朗茨肿瘤或实性假乳头状瘤是一种非常罕见的胰腺癌,约占胰腺外分泌肿瘤的 0.2-2%。病例报告:我们报告了一例 20 岁女性的病例,她没有任何合并症,因左下腹和上腹部轻微腹痛入院,大约半年前开始出现腹痛。计算机断层扫描和磁共振成像显示肿瘤体积巨大,结构混杂,明显与胰腺尾部、左肾和肾上腺粘连,但无法确定其内脏来源。处理和结果:在对病例进行了全面分析后,我们决定采用左肋下开腹手术;术中发现一个相对清晰的肿块,与胰腺尾部粘连,因此对肿瘤和与其接触的胰腺组织进行了完全切除。病理分析显示,该肿瘤为包裹性肿瘤,具有实性和假乳头状结构,并伴有出血和囊性变性区域;因此,我们得出以下最终诊断:pT3 期假乳头状-实性胰腺肿瘤。结论尽管肿瘤恶性程度高,肿瘤体积大,但手术治疗治愈率高,预后良好。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Solid pseudopapillary neoplasm – Management of an extremely rare case of pancreatic tumor in a young patient
Abstract Introduction: Franz Tumor or the solid pseudopapillary neoplasm is a very rare form of pancreatic cancer, that can be held responsible for approximately 0.2-2% of the exocrine pancreatic tumors. Case report: We report a case of a 20-year-old woman, without any comorbidities, admitted to our department accusing mild abdominal pain at the level of the left hypochondrium and epigastrium, that started approximately half a year ago. Computed tomography and magnetic resonance imaging showed a voluminous encapsulated tumor, with mixed structure, apparently adherent to the tail of the pancreas, left kidney and adrenal gland, though being unable to certainly establish its visceral origin. Management and results: After analyzing all aspects of the case, we decide in favor of a left subcostal laparotomy approach; the intraoperative aspect is that of a relatively well delineated mass, adherent at the level of the pancreatic tail, therefore a complete excision of the tumor alongside with the pancreatic tissue that came in contact with it was performed. The pathological analysis reveals an encapsulated tumor with solid and pseudopapillary structure, with hemorrhagic and cystic degeneration regions; therefore, we reach the following final diagnosis: pT3 stage pseudopapillary-solid pancreatic neoplasm. Conclusions: In spite of its malignant behavior and impressive tumor volume, the surgical intervention was curative with favorable prognosis.
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来源期刊
Acta Marisiensis - Seria Medica
Acta Marisiensis - Seria Medica Pharmacology, Toxicology and Pharmaceutics-Pharmacology, Toxicology and Pharmaceutics (all)
CiteScore
0.40
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审稿时长
24 weeks
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