A case of serous cystic neoplasm with tumor growth acceleration leading to extrapancreatic invasion
A case of serous cystic neoplasm with tumor growth acceleration leading to extrapancreatic invasion
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浆液性囊性肿瘤加速生长导致胰外侵犯一例
DOI：
10.1007/s12328-022-01746-x
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发表时间：
2022
影响因子：
1
通讯作者：
Hakamada Kenichi
中科院分区：
文献类型：
--
作者：
Yamazaki Keisuke;Wakiya Taiichi;Ishido Keinosuke;Kimura Norihisa;Ichinohe Daichi;Takahashi Yoshiya;Yoshizawa Tadashi;Kijima Hiroshi;Hakamada Kenichi
浆液性囊性肿瘤（SCN）是一种潜在的恶性和侵袭性疾病。然而，关于SCN的手术治疗还没有既定的指南。在此，我们报告一个SCN合并空肠侵犯的病例，最终需要进行胰尾切除术和部分空肠切除术。患者为65岁女性，在胰尾诊断为SCN后转诊至我科。CT和MRI显示一个75 mm的多灶性囊性肿块伴钙化;脾静脉和左肾上腺静脉被肿瘤包裹。此外，肿瘤与空肠的开始接触。最后，她接受了后路根治性顺行胰脾切除术和空肠部分楔形切除术。组织学检查结果显示为浆液性囊腺瘤。此外，发现肿瘤细胞在某些区域已浸润空肠固有肌层，表明肿瘤具有恶性潜能。目前，自手术以来已经过去了14个月，没有转移或复发的证据。应根据肿瘤大小和生长速度进行监测和决定是否进行手术切除，以避免恶性转化，并为SCN患者提供器官保留，微创手术。
Serous cystic neoplasm (SCN) is a potentially malignant and invasive disease. However, there are no established guidelines regarding the surgical management of SCN. Here, we report a case of SCN with jejunal invasion that ultimately required a distal pancreatectomy with partial resection of the jejunum. The patient was a 65-year-old female who was referred to our department after a diagnosis of SCN in the pancreatic tail. CT and MRI showed a 75-mm multifocal cystic mass with calcifications; the splenic vein and left adrenal vein were entrapped within the tumor. Furthermore, the tumor was in contact with the beginning of the jejunum. Finally, she underwent a posterior radical antegrade modular pancreatosplenectomy with a partial wedge-shaped resection of the jejunum. Histological findings indicated serous cystadenoma. In addition, the tumor cells were found to have infiltrated the jejunal muscularis propria in some areas, suggesting that the tumor had malignant potential. Currently, 14 months have passed since surgery and there is no evidence of metastasis or recurrence. Surveillance and the decision to perform surgical resection should be made based on tumor size and growth rate to avoid malignant transformation as well as to provide SCN patients with organ-sparing, less invasive surgery.
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影响因子：
9.8
作者：
Khashab, Mouen A.;Shin, Eun Ji;Giday, Samuel
通讯作者：
Giday, Samuel
胰腺恶性浆液性囊性肿瘤：新病例的系统评价
影响因子：
2.4
作者：
Jimi Huh;J. Byun;Seung‐Mo Hong;K. Kim;J. Kim;S. S. Lee;Hyoung;Moon‐gyu Lee
通讯作者：
Moon‐gyu Lee
胰腺浆液性囊性肿瘤的手术指征：―12例切除病例的研究―
影响因子：
1.3
作者：
勇人 佐々木;村上 義昭;上村 健一郎;橋本 泰司;近藤 成;中川 直哉;迫田 拓弥;浦部 和秀;民人 佐々木;大毛 宏喜;末田 泰二郎
通讯作者：
末田 泰二郎
具有侵袭性生长的胰腺实性浆液性囊性肿瘤
影响因子：
3
作者：
Seung Duk Lee;Sung;E. Hong
通讯作者：
E. Hong
影响因子：
5.6
作者：
GEORGE, DH;MURPHY, F;ULMER, BG
通讯作者：
ULMER, BG