粘性囊性新生体与胰腺伪囊共存
Shyamal Naidu Dharmana1, Kuppusamy Senthamizhselvan1, Sakthivel Harikrishnan2
1Medical Gastroenterology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, IND.
Cureus
|December 4, 2025
概括
一名最初被诊断为胰腺伪囊的患者在EUS引导排水和随后的手术后被发现具有共存的粘膜囊性瘤 (MCN). 这一案例凸显了胰腺囊性病变的彻底组织病理学的重要性.
科学领域:
- 胃肠病学 胃肠病学
- 手术病理学手术病理学
- 在瘤学瘤学.
背景情况:
- 胰腺囊性病变带来诊断挑战,通常模仿伪囊.
- 粘性囊性瘤 (MCNs) 需要由于恶性潜在的精确区分.
研究的目的:
- 报告一种罕见的粘膜性囊性新生瘤 (MCN) 与胰腺伪囊共存的病例.
- 强调囊液分析和组织病理学在管理复杂的胰腺囊病变中的诊断效用.
主要方法:
- 用内镜超声波 (EUS) 引导的囊腔胃口术用于诊断和初始管理.
- 囊液的生物化学分析,包括癌胚抗原 (CEA) 水平.
- 远距离胰腺切除术与脊髓切除术,随后进行详细的组织病理学检查.
主要成果:
- 胰腺伪囊的初始诊断在进一步调查后进行了修订.
- 囊液中CEA水平升高表明了粘膜病理.
- 组织病理学证实了粘膜性囊性瘤 (MCN) 在伪囊体内共存.
结论:
- 结合性粘膜性囊性瘤和伪囊是罕见的胰腺实体.
- 多模式诊断方法,包括EUS和外科病理学,对于准确的诊断和管理至关重要.
- 对于确诊的MCN,迅速的手术干预确保了有利的患者结果.
相关概念视频
01:24Chronic Pancreatitis I: Introduction
648
The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
648
01:29Chronic Pancreatitis II: Collaborative Care
291
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
291
01:19Pancreas
2.1K
The pancreas, an essential organ in the human body, is a pinkish-gray elongated structure located posterior to the stomach. It extends laterally from the duodenum towards the spleen and is firmly bound to the posterior wall of the abdominal cavity. The organ's surface has a lumpy, lobular texture that gives it a unique appearance.
The broad head of the pancreas lies within the loop formed by the duodenum, while its slender body reaches towards the spleen. The tail of the pancreas is short...
The broad head of the pancreas lies within the loop formed by the duodenum, while its slender body reaches towards the spleen. The tail of the pancreas is short...
2.1K