维普中文期刊产品整合服务

Solid pseudopapillary neoplasm of the pancreas in a young male with main pancreatic duct dilatation: A case report

查看全文 作　　者：Saki [1]Nakashima;Yoshiki [2]Sato;Tsunao [2]Imamura;Daisuke [2]Hattori;Tetsuo [2]Tamura;Rikako [2]Koyama;Junichiro [3]Sato;Yuta [4]Kobayashi;Masaji [4]Hashimoto 高影响力作者 机构地区：[1]Department of Neurology,The University of Tokyo Hospital,Bunkyo-ku 113-8655,Tokyo,Japan;[2]Department of Gastroenterology,Toranomon Hospital,Tokyo 105-0001,Japan;[3]Department of Pathology,Toranomon Hospital,Tokyo 105-0001,Japan;[4]Department of Gastrointestinal Surgery,Toranomon Hospital,Tokyo 105-0001,Japan高影响力机构 出　　处：《World Journal of Clinical Cases》索引2021年第9卷第36期,共10页高影响力期刊 摘　　要：BACKGROUND Solid pseudopapillary neoplasms(SPNs)are rare tumors of the pancreas.Typically,they occur in young females,often have characteristic imaging features,such as cystic components and calcification,and have few effects on the pancreatic duct.CASE SUMMARY A 31-year-old man was admitted to our hospital with the chief complaint of epigastric pain.There was only mild tenderness in his upper abdomen,and blood tests showed only a slight increase in alkaline phosphatase.Contrast-enhanced computed tomography showed a 40-mm-diameter,hypovascular mass in the head of the pancreas,and the main pancreatic duct upstream of the mass was severely dilated.Magnetic resonance imaging showed low intensity on T1-weighted images,with high intensity on T2-weighted image in some parts.Pancreatic ductal adenocarcinoma was the primary differential diagnosis.Portal vein infiltration could not be ruled out,so this case was a candidate for neoadjuvant chemotherapy.Subsequently,endoscopic ultrasound-guided fine needle aspiration was performed,and pathological evaluation and immunostaining suggested a diagnosis of SPN.Thus,pancreatoduodenectomy was performed.One year after the operation,the patient is alive with no recurrence.CONCLUSION Main pancreatic duct dilatation is usually a finding of suspected pancreatic cancer.However,pancreatic duct dilatation can occur in SPN depending on the location and growth speed.Therefore,SPN should be considered in the differential diagnosis of tumors with pancreatic duct dilatation,and pathological evaluation by endoscopic ultrasound-guided fine needle aspiration should be actively performed. 关 键 词：Solid pseudopapillary neoplasm Endoscopic ultrasound-guided fine-needle aspiration Main pancreatic duct dilatation MALE Case report
相关文献

参考文献(20)

耦合文献(6)

网站首页 | 关于我们 | 联系我们 | 产品服务 | 客服中心 | 广告服务 | 版权声明 | 网站联盟 | 友情链接 | 售卡网点

版权所有© 渝B2-20050021-1　渝公网安备 50019002500403号　违法和不良信息举报中心

互联网出版许可证 新出网证(渝)字10号 全国400电话 - 免长途话费