PDF(Pubmed)
Abstract：
Pancreatic pseudocysts are surrounded by a non-epithelialized wall confined to the pancreas and localized to the pancreatic tissue or adjacent pancreatic cavity. In contrast, pancreatic cystic tumors occur less frequently than solid lesions and are often detected incidentally on imaging. Regarding the qualitative diagnosis of pancreatic pseudocysts, it is important to differentiate them from neoplastic cysts. We report the case of a 74-year-old woman with a giant hemorrhagic pancreatic pseudocyst and a suspected cystic pancreatic tumor, wherein distal pancreatectomy and splenectomy with lymph node dissection were performed. The patient was discharged 11 days postsurgery, with a good postoperative course. There are no reports of giant pancreatic pseudocysts larger than 10 cm with hematoma contents. The presumptive diagnosis of pseudocysts based on imaging alone may be difficult. Surgical resection is considered when it is difficult to distinguish a giant pancreatic pseudocyst from a cystic neoplasm.
摘要：
胰腺假性囊肿被局限于胰腺的非上皮化壁包围,并位于胰腺组织或邻近的胰腔。相比之下,胰腺囊性肿瘤的发生频率低于实体病变，并且通常在影像学上偶然发现。关于胰腺假性囊肿的定性诊断，区分它们和肿瘤囊肿是很重要的。我们报告了一个74岁的女性，患有巨大的出血性胰腺假性囊肿和疑似囊性胰腺肿瘤，其中进行了远端胰腺切除术和脾切除术伴淋巴结清扫。患者术后11天出院，术后良好。目前尚无巨大胰腺假性囊肿大于10cm并伴有血肿内容物的报告。仅基于影像学对假性囊肿的推定诊断可能很困难。当难以区分巨大胰腺假性囊肿和囊性肿瘤时，考虑手术切除。
