大网膜胰腺实性-假乳头瘤1例报告及文献复习

doi:10.13481/j.1671-587x.20180333

吉林大学学报(医学版) ›› 2018, Vol. 44 ›› Issue (03): 631-634.doi: 10.13481/j.1671-587x.20180333

大网膜胰腺实性-假乳头瘤1例报告及文献复习

刘亚芳, 刘继轩, 董欣洁, 陈晓帅, 倪劲松

吉林大学第一医院二部病理科, 吉林长春 130021

收稿日期:2017-11-13 出版日期:2018-05-28 发布日期:2018-05-31
通讯作者: 倪劲松,教授,硕士研究生导师(Tel:0431-84885067,E-mail:nijs@jlu.edu.cn) E-mail:nijs@jlu.edu.cn
作者简介:刘亚芳(1980-),女,吉林省农安县人,主治医师,医学博士,主要从事肿瘤病理生物学方面的研究。
基金资助:
吉林省卫计委科研计划项目资助课题（20152037）

Solid pseudopapillary neoplasm of pancreas arising from majus omentum: A case report and literature review

LIU Yafang, LIU Jixuan, DONG Xinjie, CHEN Xiaoshuai, NI Jinsong

Department of Pathology, First Hospital, Jilin University, Changchun 130021, China

Received:2017-11-13 Online:2018-05-28 Published:2018-05-31

摘要/Abstract

摘要： 目的：探讨1例发生在大网膜的胰腺实性-假乳头瘤（SPN）患者的病理诊断要点及鉴别诊断，提高对发生于胰腺外SPN的认识。方法：1例女性患者，因腹部包块20d入院，妇科彩超诊断为多发性子宫肌瘤，腹部超声未见明显异常，行子宫次全切术，术中发现大网膜有1个界清肿物，术中行子宫及网膜肿物切除术。结果：该患者术后病理检查诊断为多发性子宫肌瘤，肿瘤诊断为胰腺SPN，周围未见异位胰腺组织，超声及CT检查排除胰腺SPN转移，根据其形态表现及免疫组织化学特征诊断为大网膜SPN。术后随访3年，未见复发及转移。结论：发生于大网膜的SPN临床罕见，肿瘤一般界限清楚，具有典型的形态表现及免疫组织化学特点。

关键词: 胰腺, 大网膜, 子宫肌瘤, 实性-假乳头瘤

Abstract: Objective: To explore the pathological diagnosis features and differential diagnosis of one case of patient with solid pseudopapillary neoplasm (SPN) of pancreas occurred in the majus omentum,and to improve the understanding of extra-pancreatic SPN. Methods: One female patient was admitted to hospital because of abdominal mass found 20 d ago.The patient was diagnosed as multiple hysteromyoma by gynecological color ultrasound,and the results of abdominal ultrasound had no obvious abnormity.The patient underwent hysterotomy,and a well-defined mass in the majus omentum was found during operation,so the patient received hysterectomy and omental tumor resection. Results: The patient was confirmed as multiple hysteromyoma by the postoperative pathological examination.The patient was clearly diagnosed as SPN arising from the majus omentum on the basis of pathological characteristics and immunohistochemical staining results.There were no ectopic pancreas tissue arround the tumor and no SNP metastasis in examination of ultrasound and CT.No recurrence and metastasis were found in the follow-up of 3 years. Conclusion: SPN arising from the majus omentum is extremely rare.The tumor has clear boundary,typical morphology and immunohistochemical appearances.

Key words: hysteromyoma, majus omentum, pancreas, solid pseudopapillary neoplasm

中图分类号:

R735.9

刘亚芳, 刘继轩, 董欣洁, 陈晓帅, 倪劲松. 大网膜胰腺实性-假乳头瘤1例报告及文献复习[J]. 吉林大学学报(医学版), 2018, 44(03): 631-634.

LIU Yafang, LIU Jixuan, DONG Xinjie, CHEN Xiaoshuai, NI Jinsong. Solid pseudopapillary neoplasm of pancreas arising from majus omentum: A case report and literature review[J]. Journal of Jilin University Medicine Edition, 2018, 44(03): 631-634.

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大网膜胰腺实性-假乳头瘤1例报告及文献复习

Solid pseudopapillary neoplasm of pancreas arising from majus omentum: A case report and literature review

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