一种渐进式的桑托格拉诺瘤性胰腺炎病例,伴有脏
Keiji Nagata1, Kojiro Nakamura2,3, Taku Iida1
1Department of Surgery, Nishi-Kobe Medical Center, 5-7-1 Koji-dai, Nishi-ku, Kobe, Hyogo, 651-2273, Japan.
Clinical journal of gastroenterology
|March 8, 2024
概括
一种罕见的炎症性疾病 - - 桑托格兰瘤性胰腺炎 - - 在一个最初怀疑患有胰腺瘤或伪囊的病人身上被诊断出. 手术切除证实了良性桑托格兰瘤性胰腺炎,排除了恶性瘤.
科学领域:
- 胃肠病学 胃肠病学
- 病理学 病理学 病理学
- 手术瘤学手术瘤学
背景情况:
- 桑托格兰瘤性炎症是一种罕见的慢性炎症过程.
- 与其他器官相比,桑托格兰瘤性胰腺炎异常罕见.
- 在手术前将其与胰腺瘤或伪囊区分开来可能是具有挑战性的.
研究的目的:
- 为了报告一种罕见的Xanthogranulomatous胰腺炎病例.
- 突出诊断挑战和成像发现.
- 强调组织病理学确认的重要性.
主要方法:
- 一个77岁的妇女的病例介绍,她患有腹上疼痛.
- 使用了对比增强计算机断层扫描 (CECT) 和内镜超声波 (EUS).
- 进行了内镜逆行胆血管细胞学 (ERCP) 和胰腺汁细胞学.
- 进行远部胰腺切除术与脊髓切除术以确定诊断.
主要成果:
- 图像检测显示胰腺尾部和腹部有囊性质量.
- 细胞学表明可能是导管内 papillary 粘膜癌.
- 组织病理学检查证实了桑托格拉诺瘤性胰腺炎.
- 手术后没有发现恶性瘤的证据.
结论:
- 桑托格拉诺瘤性胰腺炎可以在成像上模仿胰腺恶性瘤.
- 多模式成像和细胞学可能会引起对癌症的怀疑.
- 手术切除对于准确诊断和排除瘤至关重要.
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Assessment:
Assessment:
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