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| 1 | 胰腺淋巴上皮囊肿1例报告并文献复习显示文摘背景与目的:胰腺淋巴上皮囊肿(PLEC)是一种罕见的胰腺囊性病变,其临床表现无明显特异性,术前影像学诊断较为困难,与其他胰腺良恶性病变鉴别有一定难度,其确诊仍然依赖术后病理组织学检查。迄今为止,PLEC作为胰腺良性肿瘤,未出现临床症状的患者多建议保守治疗,出现明显临床症状或与恶性肿瘤鉴别不清者需行外科手术治疗。本文介绍1例PLEC的临床表现、诊断及鉴别诊断要点、临床治疗路径和病理组织学特征;并通过国内外相关文献阅读,总结其临床特征,以期为提高PLEC的诊疗水平提供借鉴和参考。方法:回顾性分析了2021年7月大连医科大学附属大连市中心医院肝胆外科诊治的1例PLEC临床资料。结果:患者为59岁男性,因体检意外发现胰腺肿物入院,增强核磁共振扫描可见胰腺颈部大小为2.6 cm×4.3 cm椭圆形异常信号。通过讨论分析患者临床表现、影像学特征、实验室检查结果等方面资料,认为有手术指征和条件,遂行胰十二指肠切除。手术时间360 min,术中出血50 mL。术后病理组织学检查确诊为PLEC。术后患者未出现出血、胰瘘、感染、胃排空障碍等并发症。术后10 d拔除引流管,术后12 d出院。结论:PLEC是一种罕见的胰腺囊性良性病变,由于其临床表现不典型,术前诊断较为困难。有症状的胰腺囊性病患者通常需要行外科手术完整切除病变组织,对于无法明确PLEC诊断的患者,建议行外科手术治疗,患者术后通常预后良好;无症状者可考虑保守治疗和随访观察。 | 杨中尧 盖雪峰 于镜泊 张大伟 汤义鹏 马驰 贾友鹏 | 2023 | 中国普通外科杂志2023，32，3： | 0 |
| 2 | Pancreatic lymphangioma:two case reports from an institutional experience with a rare entity and review of literature显示文摘Pancreatic lymphangiomas are very rare benign cystic lesions that pose a diagnostic dilemma due to their resemblance to other non-neoplastic and neoplastic pancreatic cystic lesions.As such,pancreatic lymphangiomas are frequently diagnosed only after histological examination of the excised lesion.We present 2 cases of pancreatic lymphangioma,determine its prevalence at our institution and perform a detailed review of published literature since 2010.Case 1 is a 36-year-old male and case 2 is a 35-year-old female,both of which presented with abdominal pain.These were the only cases of pancreatic lymphangiomas reported at our institution since 2010.We reviewed 69 cases of pancreatic lymphangiomas from 52 publications.It affects predominantly females with a median age of 43 and such patients typically present with abdominal pain(58.8%)or are asymptomatic(27.9%).The median size is 8.6 cm,the most common location is the head of pancreas and the most common imaging finding is that of a multilocular cyst.Majority of patients underwent surgical resection(69.6%).Endoscopic ultrasound-guided fine-needle aspiration features of pancreatic lymphangiomas include chylous cyst fluid,elevated fluid triglyceride levels(15/16 cases)and numerous lymphocytes on cytology.The majority of patients with elevated fluid triglyceride levels(13/15 cases)were managed conservatively.Pancreatic lymphangiomas are rare pancreatic cystic lesions that may be diagnosed preoperatively using a multidisciplinary and multimodal approach involving clinical,radiological,biochemical and cytological features,allowing greater confidence in the selection of patients who can be managed conservatively. | Alfonso Tan-Garcia Ser Yee Lee Jen San Wong Thomas W.T.Ho Keng Sin Ng Kiat Hon Tony Lim | 2022 | Journal of Pancreatology2022，5，2： | 0 |
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