PDF(Pubmed)
Abstract：
Mucinous cystic neoplasms of the pancreas are rare tumors that represent 10% of cystic pancreatic tumors. They are potentially sex hormone-sensitive. However, mucinous cystic neoplasms occurring during pregnancy are relatively uncommon. A 33-year-old woman in her ninth week of gestation was referred to us due to abdominal pain for two months. Magnetic resonance imaging revealed a well-defined unilocular cystic lesion at the tail of the pancreas, measuring 7x6.4 cm. The patient underwent tumor resection with distal pancreatectomy and splenectomy during the second trimester to prevent the potential risk of rupture of the neoplasm, rapid growth, and/or intrauterine growth restriction. Histopathological examination revealed a mucinous cystadenoma with no atypia or malignancy. The patient completely recovered from the surgery and had a healthy full-term baby. This case shows the benefit of performing the surgery during the second trimester compared to the potential risk of delaying the surgery.
摘要：
胰腺粘液性囊性肿瘤是罕见的肿瘤，占胰腺囊性肿瘤的10％。它们可能对性激素敏感。然而,在怀孕期间发生的粘液性囊性肿瘤相对少见。一名33岁的妇女在怀孕第九周时因腹痛两个月被转诊给我们。磁共振成像显示胰腺尾部有一个明确的单眼囊性病变，尺寸为7x6.4厘米。患者在妊娠中期接受了胰腺远端切除术和脾切除术，以防止肿瘤破裂的潜在风险。快速增长,和/或宫内生长受限。组织病理学检查显示粘液性囊腺瘤，无异型或恶性。患者从手术中完全康复，并有一个健康的足月婴儿。与延迟手术的潜在风险相比，这种情况显示了在孕中期进行手术的好处。
