固体和囊性胰腺内附属脏:在一个机构报告了10例病例
Jianjie Sheng1, Yifei Yang2, Yudong Qiu1,2
1Department of Pancreatic and Metabolic Surgery, Nanjing Drum Tower Hospital Clinical College of Nanjing University of Chinese Medicine, Nanjing, China.
Annals of medicine
|February 10, 2025
概括
诊断胰腺内附属脏 (IPAS) 很困难,往往导致误诊为瘤. 改善成像和意识可以防止这些良性病变的不必要的胰腺手术.
科学领域:
- 胃肠病学 胃肠病学
- 手术病理学手术病理学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 胰腺内附属脏 (IPAS) 诊断是具有挑战性的,因为它是罕见的和各种呈现.
- 怀疑恶性瘤往往导致不必要的胰腺手术,尽管全面的评估.
- 机构审查旨在改善准确的IPAS区分.
研究的目的:
- 为准确区分胰腺内附属脏 (IPAS) 提供洞察力.
- 为了减少IPAS作为胰腺瘤的误诊.
- 为了防止IPAS的不必要的外科干预.
主要方法:
- 针对IPAS进行远端胰腺切除术的10名患者的回顾性审查 (2020年1月至2024年4月).
- 评估出现的症状,病史,术前成像,手术治疗和病理学.
- 对患者人口统计,病变特征和术后结果的分析.
主要成果:
- 确定了10名患者 (30-72岁) 在胰腺尾部患有IPAS.
- 病变的大小各不相同 (1.4-7.3厘米),呈现为固体和囊性质量.
- 四名患者被诊断出在IPAS (ECIPAS) 中产生的表皮囊.
结论:
- IPAS是良性病变,经常被误认为是胰腺瘤.
- 增强成像 (CT,MRI,EUS-FNA,核医学) 可能会改善检测.
- 提高意识和先进的成像可以提高诊断准确度,防止不必要的手术.
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