PDF(Pubmed)
Abstract：
UNASSIGNED: Solid pseudopapillary neoplasms (SPNs) of the pancreas are uncommon, low-malignancy neoplasms. Moreover, the occurrence of extrapancreatic SPNs is rarely encountered.
UNASSIGNED: A 45-year-old female presented with a right upper abdominal mass and abdominal pain for 3 and 1 months as chief complaints, respectively. Initially, the patient was misdiagnosed with hepatocellular carcinoma based on her symptoms and results of physical and imaging examinations. Following multidisciplinary discussion and ruling out surgical contraindications, a decision was taken to proceed with surgical intervention. Interestingly, the tumor was found to originate from the retroperitoneum and had invaded the right half of the liver and the right wall of the inferior vena cava. The operation was uneventful, and the pathological findings confirmed the tumor as an extrapancreatic SPN. The patient remained asymptomatic after 15 months of follow-up.
UNASSIGNED: Surgical treatment remains the preferred option for extrapancreatic SPN. The preoperative misdiagnosis also highlights the importance of accurate diagnosis and the development of appropriate treatment strategies for liver masses.
UNASSIGNED: A 45-year-old female presented with a right upper abdominal mass and abdominal pain for 3 and 1 months as chief complaints, respectively. Initially, the patient was misdiagnosed with hepatocellular carcinoma based on her symptoms and results of physical and imaging examinations. Following multidisciplinary discussion and ruling out surgical contraindications, a decision was taken to proceed with surgical intervention. Interestingly, the tumor was found to originate from the retroperitoneum and had invaded the right half of the liver and the right wall of the inferior vena cava. The operation was uneventful, and the pathological findings confirmed the tumor as an extrapancreatic SPN. The patient remained asymptomatic after 15 months of follow-up.
UNASSIGNED: Surgical treatment remains the preferred option for extrapancreatic SPN. The preoperative misdiagnosis also highlights the importance of accurate diagnosis and the development of appropriate treatment strategies for liver masses.
摘要：
■胰腺实性假乳头状瘤（SPN）并不常见，低恶性肿瘤。此外，胰腺外SPN的发生很少。
一名45岁的女性主诉为右上腹部肿块和腹痛3个月和1个月，分别。最初，根据患者的症状以及物理和影像学检查结果，该患者被误诊为肝细胞癌。经过多学科讨论并排除手术禁忌症，已决定进行手术干预.有趣的是,发现肿瘤起源于腹膜后，并侵犯了肝脏的右半部分和下腔静脉的右壁。手术很顺利,病理结果证实肿瘤为胰腺外SPN。随访15个月后，患者仍无症状。
■手术治疗仍然是胰腺外SPN的首选选择。术前误诊也突出了对肝脏肿块准确诊断和制定适当治疗策略的重要性。
一名45岁的女性主诉为右上腹部肿块和腹痛3个月和1个月，分别。最初，根据患者的症状以及物理和影像学检查结果，该患者被误诊为肝细胞癌。经过多学科讨论并排除手术禁忌症，已决定进行手术干预.有趣的是,发现肿瘤起源于腹膜后，并侵犯了肝脏的右半部分和下腔静脉的右壁。手术很顺利,病理结果证实肿瘤为胰腺外SPN。随访15个月后，患者仍无症状。
■手术治疗仍然是胰腺外SPN的首选选择。术前误诊也突出了对肝脏肿块准确诊断和制定适当治疗策略的重要性。
