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摘要: <正>副脾是指除正常位置的脾脏外,还有一个或多个与脾脏结构相似、功能相同的内皮组织存在,为良性病变,副脾的发生率约10%[1],其中少部分为胰腺内副脾,主要表现为副脾组织位于胰腺尾部。脾囊肿亦是一种发病率低的病变[2],本文报道的胰腺副脾上皮样囊肿更是罕见,作为一种发病率极低、极易误诊[3]的疾病,其发病机制及原因暂时不明,尚无统一共识,在临床上特别是术前不易被准确诊断。1病例资料患者男性,40岁,体检发现胰腺尾部占位1月余。患者因
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Key words:
- pancreatic cyst /
- case reports
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[1] SERVAIS EL, SARKARIA IS, SOLOMON GL, et al. Giant epidermoid cyst within an intrapancreatic accessory spleen mimicking a cystic neoplasm of the pancreas:Case report and review of the literature[J]. Pancreas, 2008, 36 (1) :98-100. [2] RU K, KALRA A, UCCI A. Epidermoid cyst of intrapancreatic accessory spleen[J]. Dig Dis Sci, 2007, 52 (5) :1229-1232. [3] ZAVRAS N, MACHAIRAS N, FOUKAS P, et al. Epidermoid cyst of an intrapancreatic accessory spleen:A case report and literature review[J]. World J Surg Oncol, 2014, 12 (1) :92. [4] DU N, HUO WD, WANG ZS, et al. Accessory splenic epidermoid cyst in pancreas:Report of 1 cases and literature review[J]. Chin J Gen Surg, 2015, 24 (3) :429-434. (in Chinese) 杜宁, 郭卫东, 王祖森, 等.胰腺内副脾表皮样囊肿1例并文献复习[J].中国普通外科杂志, 2015, 24 (3) :429-434. [5] BURRIG KF. Epithelial (true) splenic cysts. Pathogenesis of the mesothelial and so-called epidermoid cyst of the spleen[J]. Am J Surg Pathol, 1988, 12 (4) :275-281. [6] LIFSCHITZ-MERCER B, OPEN M, KUSHNIR I, et al. Epidermoid cyst of the spleen:A cytokeratin profile with comparison to other squamous epithelia[J]. Virchows Arch, 1994, 424 (2) :213-216. [7] SASOU S, NAKAMURA S, INOMATA M. Epithelial splenic cysts in an intrapancreatic accessory spleen and spleen[J]. Pathol Int, 1991, 49 (12) :1078-1083. [8] YANG XR, ZHOU LP, HUANG D. The imaging features of epidermoid cyst in intrapancreatic accessory spleen:correlated with pathological findings[J]. Fudan Univ J Med Sci, 2016, 43 (4) :441-446. (in Chinese) 杨雪融, 周良平, 黄丹.胰腺内副脾表皮样囊肿的影像特征及病理对照[J].复旦学报:医学版, 2016, 43 (4) :441-446. [9] LIU YT, CHEN C, QI CZ, et al. Imaging features of epidermoid cyst of an intrapancreatic accessory spleen:5 case reports[J]. J Clin Radiol, 2017, 36 (4) :586-589. (in Chinese) 刘义涛, 陈超, 亓昌珍, 等. 5例胰腺内副脾表皮样囊肿影像学表现分析[J].临床放射学杂志, 2017, 36 (4) :586-589. [10] HIGAKI K, JIMI A, WATANABE J, et al. Epidermoid cyst of the spleen with CA19-9 or carcinoembryonic antigen productions:Report of three cases[J]. The Am J Surg Pathol, 1998, 22 (6) :704-708. [11] MOTOSUGI U, YAMAGUCHI H, ICHIKAWA T, et al. Epidermoid cyst in intrapancreatic accessory spleen:Radiological findings including superparamagnetic iron oxide-enhanced magnetic resonance imaging[J]. J Comput Assist Tomogr, 2010, 34 (2) :217-222. [12] CHOI SK, AHN SI, HONG KC, et al. A case of epidermoid cyst of the intrapancreatic accessory spleen[J]. J Korean Med Sci, 2000, 15 (5) :589-592.
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