Laparoscopy-assisted spleen-preserving pancreatic resection for epidermoid cyst in an intrapancreatic accessory spleen
Laparoscopy-assisted spleen-preserving pancreatic resection for epidermoid cyst in an intrapancreatic accessory spleen
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DOI：
10.1111/j.1758-5910.2011.00102.x
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发表时间：
2011-11-01
影响因子：
1
通讯作者：
Tsunoda, T.
中科院分区：
文献类型：
--
作者：
Urakami, A.;Yoshida, K.;Tsunoda, T.
一例罕见的表皮样囊肿起源于胰腺内副脾在一个50岁的日本女性报告。腹部超声检查偶然发现一低回声囊性肿瘤。胰脏尾部可见单个囊肿，旁边可见肿块性病变。腹腔镜辅助保脾胰尾切除术。显微镜检查显示，囊肿被纤维组织和一薄层脾组织包围，邻近正常胰腺实质。囊肿内表面排列着非角化的鳞状上皮。诊断为发生于胰腺内副脾的表皮样囊肿。腹腔镜辅助保脾胰腺切除术是治疗胰腺良性或低度恶性囊性疾病的一种安全有效的方法。
A rare case of an epidermoid cyst originating in an intrapancreatic accessory spleen in a 50-year-old Japanese female is reported. A hypoechoic cystic tumor was detected incidentally by abdominal ultrasonography. It appeared to be a single cyst in the pancreatic tail with a contrasted mass lesion beside it. Laparoscopy-assisted spleen-preserving pancreatic tail resection was performed. Microscopic examination revealed that the cyst was surrounded by fibrous tissue and a thin layer of splenic tissue, adjacent to normal pancreatic parenchyma. The inner surface of the cyst was lined with non-keratinizing squamous epithelium. The diagnosis of an epidermoid cyst occurring in an intrapancreatic accessory spleen was confirmed. Laparoscopy-assisted spleenpreserving pancreatic resection is a safe and effective procedure for benign or low-grade malignant cystic diseases in the pancreas.