胰腺内副脾。引起胰腺肿块的罕见原因。

J M Läuffer, H U Baer, C A Maurer, M Wagner, A Zimmermann, M W Büchler
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引用次数: 44

摘要

结论:胰内副脾的临床意义在于对胰腺癌的模拟。应进行放射性核素试验(奥曲肽扫描和Tc99m硫胶体扫描)以将这些病变与神经内分泌肿瘤、高血管转移瘤和胰腺癌区分开来。如果检查结果模棱两可,建议进行诊断性剖腹探查或腹腔镜检查。背景:胰腺内异位脾组织虽然比较常见,但由于其无症状的性质,很少被发现。方法:我们报告一例临床无症状的患者,腹部计算机断层扫描(CT)显示胰腺远端有直径1.5 cm的肿块。肿瘤标志物ca19 -9和癌胚抗原(CEA)轻度升高,怀疑为胰腺肿瘤。结果:行左胰切除术及脾切除术。切除标本显示胰尾内有副脾。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Intrapancreatic accessory spleen. A rare cause of a pancreatic mass.

Conclusion: The clinical significance of intrapancreatic accessory spleens resides in the mimicry of pancreatic cancer. Radionuclide tests (Octreotide scan and Tc99m sulfur colloid scan) should be undertaken to distinguish these lesions from neuroendocrine tumors, hypervascular metastases and pancreatic carcinoma. If the tests are equivocal, diagnostic laparotomy or laparoscopy is recommended.

Background: Despite its relatively common occurrence, intrapancreatic ectopic splenic tissue is rarely detected owing to its asymptomatic nature.

Methods: We report a case of a clinically asymptomatic patient in which abdominal computed tomography (CT) scans revealed a mass of 1.5 cm in diameter in the distal pancreas. The tumor markers CA 19-9 and carcinoembryonic antigen (CEA) were slightly elevated, and pancreatic neoplasm was suspected.

Results: Left pancreatic resection and splenectomy were performed. The removed specimen disclosed the presence of an accessory spleen within the pancreatic tail.

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