Epidermoid cyst in the intrapancreatic accessory spleen: A case report
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摘要:
<正>1病例资料患者男性,28岁,因"体检发现胰腺尾部占位性病变伴进行性增大2年"于2017年3月6日入住本院。既往体健。查体:未见明显阳性体征。实验室检验:肿瘤标志物CA19-997. 19 U/ml,余肿瘤标志物正常;肝功能、肾功能、血常规正常。辅助检查:超声检查示胰腺尾部低回声团块,大小约51 mm×40 mm,考虑囊性可能性大。全腹平扫+三期增强CT示:胰腺尾部类圆形囊实混杂密度影,大小约5. 2 cm×4. 1 cm,增强后液性成分未见强化,实性成分及分隔强化程度较正常胰腺实质略增高,不除外囊腺瘤(图1)。
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Key words:
- pancreatic cyst /
- spleen /
- case reports
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[1] DAVIDSON ED, CAMPBELL WG, HERSH T. Epidermoid splenic cyst occurring in an intrapancreatic accessory spleen[J]. Dig Dis Sci, 1980, 25 (12) :964-967. [2] TAN HJ, NEO WL, LEE SY, et al. Epidermal inclusion cyst in an intra-pancreatic accessory spleen:A differential diagnosis for pancreatic cystic neoplasms and review of the literature[J]. J Gastrointest Cancer, 2017.[Epub ahead of print] [3] FANG JF, WANG N, LU BC. Epidermoid cyst arising within an intrapancreatic accessory spleen:A case report[J]. Chin J Gen Surg, 2011, 26 (4) :331-331. (in Chinese) 方剑锋, 王宁, 鲁葆春.胰尾内异位副脾表皮样囊肿一例[J].中华普通外科杂志, 2011, 26 (4) :331-331. [4] ZHANG T, YANG ZQ, TIAN WJ. Epidermoid cyst in an intrapancreatic accessory spleen:A case reports and review of the literatures[J/CD]. Chin J Laparoscopic Surgery:Electronic Edition, 2013, 6 (4) :303-306. (in Chinese) 张腾, 杨志强, 田伟军.胰腺内副脾伴上皮性囊肿一例及文献复习[J/CD].中华腔镜外科杂志:电子版, 2013, 6 (4) :303-306. [5] PAREDES A, BEAL EW, DILLHOFF ME. Epidermoid cyst within an intrapancreatic accessory spleen[J]. BMJ Case Rep, 2018, 4 (5) :1-3. [6] SUZUMURA K, HATANO E, OKADA T, et al. Laparoscopic resection of an epithelial cyst in an intrapancreatic accessory spleen[J]. Case Rep Gastroenterol, 2017, 11 (3) :803-811. [7] BASTIDAS AB, HOLLOMAN D, LANKARANI A, et al. Endoscopic ultrasound-guided needle-based probe confocal laser endomicroscopy (nCLE) of intrapancreatic ectopic spleen[J]. ACG Case Rep J, 2016, 3 (3) :196-198. [8] TATEYAMA H, TADA T, MURASE T, et al. Lymphoepithelial cyst and epidermoid cyst of the accessory spleen in the pancreas[J]. Mod Pathol, 1998, 11 (12) :1171-1177. [9] OUGH YD, NASH HR, WOOD DA. Mesothelial cysts of the spleen with squamous metaplasia[J]. Am J Clin Pathol, 1981, 76 (5) :666-669. [10] 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. [11] LIM J, CHO K. Epidermoid cyst with unusual magnetic resonance characteristics and spinal extension[J]. World J Surg Oncol, 2015, 13 (1) :1-5. [12] KATO S, MORI H, ZAKIMI M, et al. Epidermoid cyst in an intrapancreatic accessory spleen:Case report and literature review of the preoperative imaging findings[J]. Intern Med, 2016, 55 (23) :3445-3452. [13] 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. [14] ZHANG JL, GE CL. Clinical features of pancreatic cystic neoplasms and its therapeutic strategy[J]. J Clin Hepatol, 2016, 32 (5) :860-863. (in Chinese) 张家利, 葛春林.胰腺囊性肿瘤的临床特点及治疗策略[J].临床肝胆病杂志, 2016, 32 (5) :860-863. [15] HOU LY, JIA RJ, WANG XC, et al. Clinicopathological features of pancreatic mucinous cystic neoplasm and influencing factors for its malignancy[J]. J Clin Hepatol, 2017, 33 (8) :1514-1517. (in Chinese) 侯丽艳, 贾如江, 王秀超, 等.胰腺黏液性囊性肿瘤的临床病理特点及良恶性影响因素分析[J].临床肝胆病杂志, 2017, 33 (8) :1514-1517. [16] HIRABAYASHI K, YAMADA M, KONO H, et al. Epidermoid cysts are a characteristic feature of intrapancreatic but not of extrapancreatic accessory spleens[J]. Virchows Arch, 2017, 471 (1) :91-98. [17] KADOTA K, KUSHIDA Y, MIYAI Y, et al. Epidermoid cyst in an intrapancreatic accessory spleen:Three case reports and review of the literatures[J]. Pathol Oncol Res, 2010, 16 (3) :435-442.
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