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胰腺类型的双胞胎瘤:一个病例报告和文献综述
Daisuke Shirai1,2, Seiko Hirono1, Masaharu Tada1
1Division of Hepato-Biliary-Pancreatic Surgery, Department of Gastroenterological Surgery, Hyogo Medical University, Nishinomiya, Hyogo, Japan.
Surgical case reports
|December 22, 2025
概括
在十二指肠中发现了一种巨型胰腺类型的细胞癌 (ACC),这是一种罕见的现象,可能起源于异胎性胰腺组织. 这一案例凸显了十二指肠ACC的诊断挑战.
科学领域:
- 胃肠病学 胃肠病学
- 手术病理学手术病理学
背景情况:
- 细胞癌 (ACC) 通常起源于胰腺.
- 十二指肠外宫性ACC异常罕见,尤其是大型瘤.
研究的目的:
- 报告一个罕见的大十二指肠ACC病例.
- 讨论诊断方面的挑战,并为关于子宫外胰腺瘤的文献做出贡献.
主要方法:
- 一个83岁的男性患有梅伦的病例.
- 内镜,CT成像和活检显示出一个大的十二指肠质量.
- 手术切除 (胰腺双管切除术),然后进行组织病理学检查.
主要成果:
- 鉴定出一个7厘米的十二指管质量,从球泡延伸到下降部分.
- 手术后的诊断证实了胰腺类型的ACC,对素呈阳性.
- 在CT上没有证据表明外壁侵袭或远程转移.
结论:
- 该病例代表了十二指肠的巨型胰腺类型ACC,可能来自宫外胰腺组织.
- 突出了这种罕见表现的诊断困难.
- 增加了关于十二指肠ACC的有限现有文献.
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