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胰腺的固体伪皮质上皮瘤与肝脏转移

Pravinkumar Kanaram Gehlot¹, Kayomarz Sohrab Sethna²

¹Department of General Surgery, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra, India pravingehlot1997@gmail.com.

BMJ case reports

|January 8, 2025

概括

一个罕见的胰腺瘤,固体伪皮质上皮瘤 (SPEN),在一个患有肝转移的青少年女孩身上被诊断出. 手术切除是成功的,她在手术后仍然没有疾病.

科学领域:

在瘤学瘤学.
胃肠病学胃肠病学
儿科手术儿科手术

背景情况:

固体伪皮质上皮瘤 (SPEN) 是一种罕见的胰腺瘤,主要影响年轻女性.
早期诊断和治疗对于管理SPEN至关重要,特别是当转移性疾病存在时.

研究的目的:

报告一个患有肝转移的青少年女孩的SPEN病例.
突出这一罕见疾病的诊断和手术管理.

主要方法:

诊断成像包括CT和内镜超声波导向活检.
切除主要胰腺和肝转移的手术切除.
组织病理学和免疫组织化学分析用于诊断确认.

主要成果:

在一个青春期的女性中,发现了一种具有肝转移的大胰腺SPEN.
实现了瘤和转移的完整手术切除.
患者在手术后4个月保持无疾病状态,明显的边缘和没有淋巴结的参与.

结论:

SPEN可以发生在青少年中,并且存在转移性疾病.
多学科的外科和病理评估对于成功管理至关重要.
完整的外科切除为转移的SPEN提供了有利的预后.

关键词:

胃肠道手术胃肠道手术胰腺癌是一种胰腺癌.脊椎切除术 (Splenectomy) 是一个切除脊椎的方法.

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