胰腺少见富血供占位病变临床诊治分析_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

顾玉青 , 周鑫 , 顾广亮 ,  张彬

南京医科大学第二附属医院普外科（南京 210009）;

Corresponding author：

张彬, Email: arbin_zhang@163.com

Keywords：

胰腺占位病变; 富血供; 术前诊断

DOI：

10.7507/1007-9424.202305004

Video：

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目的探讨胰腺少见富血供占位病变的临床特点，为临床该类病变患者的诊治提供参考。方法回顾性分析4例胰腺富血供占位病变患者的一般情况、症状体征、辅助检查、影像学检查、手术情况及术后病理结果。结果 4例患者均无特异性症状和体征，辅助检查无明显异常，影像学检查发现胰腺富血供占位病变而接受治疗。1例诊断胃十二指肠动脉瘤行介入治疗，余3例患者均行胰体尾+脾脏切除术；3例外科手术患者术后病理诊断分别为胰腺内副脾、胰腺微囊型浆液性囊腺瘤和肾透明细胞癌胰腺转移。4例患者术后恢复良好，胰腺内副脾患者合并肝脏占位，行肝脏占位穿刺活检考虑肝脏炎性假瘤。结论胰腺少见富血供占位病变术前诊断困难，需结合临床资料及辅助检验结果综合分析，联合多种影像学检查，以提高术前诊断准确率而实施合理的治疗。

Citation： 顾玉青, 周鑫, 顾广亮, 张彬. 胰腺少见富血供占位病变临床诊治分析. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2023, 30(8): 974-977. doi: 10.7507/1007-9424.202305004 Copy

1.	中华医学会外科学分会胰腺外科学组. 胰腺神经内分泌肿瘤治疗指南(2014). 中华外科杂志, 2014, 52(12): 888-890.
2.	Salahshour F, Mehrabinejad MM, Zare Dehnavi A, et al. Pancreatic neuroendocrine tumors (pNETs): the predictive value of MDCT characteristics in the differentiation of histopathological grades. Abdom Radiol (NY), 2020, 45(10): 3155-3162.
3.	Almeida RR, Lo GC, Patino M, et al. Advances in pancreatic CT imaging. AJR Am J Roentgenol, 2018, 211(1): 52-66.
4.	Vaghaiwalla T, Keutgen XM. Surgical management of pancreatic neuroendocrine tumors. Surg Oncol Clin N Am, 2020, 29(2): 243-252.
5.	Choi TW, Kim JH, Yu MH, et al. Pancreatic neuroendocrine tumor: prediction of the tumor grade using CT findings and computerized texture analysis. Acta Radiol, 2018, 59(4): 383-392.
6.	Shawky MS, Tan J, French R. Gastroduodenal artery aneurysm: a case report and concise review of literature. Ann Vasc Dis, 2015, 8(4): 331-333.
7.	武文杰, 李晓斌, 吴文铭, 等. 胰腺内异位副脾的诊断. 中华胰腺病杂志, 2017, 17(4): 285-288.
8.	Jang KM, Kim SH, Lee SJ, et al. Differentiation of an intrapancreatic accessory spleen from a small (<3 cm) solid pancreatic tumor: value of diffusion-weighted MR imaging. Radiology, 2013, 266(1): 159-167.
9.	张太平, 杨刚, 赵玉沛. 胰腺囊性疾病诊治进展. 国际外科学杂志, 2016, 43(6): 364-368.
10.	王晴柔, 陈克, 敏朱兰, 等. MDCT在鉴别胰腺实性型浆液性囊腺瘤与富血供神经内分泌肿瘤中的价值. 中国医学计算机成像杂志, 2022, 28(1): 50-55.
11.	Stern JR, Frankel WL, Ellison EC, et al. Solid serous microcystic adenoma of the pancreas. World J Surg Oncol, 2007, 5: 26 .
12.	王静, 孙继红, 胡鹏, 等. 胰腺微囊型浆液性囊腺瘤的影像特征及不典型表现. 实用放射学杂志, 2015, 31(11): 1910-1913.
13.	van Huijgevoort NCM, Del Chiaro M, Wolfgang CL, et al. Diagnosis and management of pancreatic cystic neoplasms: current evidence and guidelines. Nat Rev Gastroenterol Hepatol, 2019, 16: 676-689.
14.	Tanis PJ, van der Gaag NA, Busch OR, et al. Systematic review of pancreatic surgery for metastatic renal cell carcinoma. Br J Surg, 2009, 96(6): 579-592.
15.	Corwin MT, Lamba R, Wilson M, et al. Renal cell carcinoma metastases to the pancreas: value of arterial phase imaging at MDCT. Acta Radiol, 2013, 54(3): 349-354.

1. 中华医学会外科学分会胰腺外科学组. 胰腺神经内分泌肿瘤治疗指南(2014). 中华外科杂志, 2014, 52(12): 888-890.
2. Salahshour F, Mehrabinejad MM, Zare Dehnavi A, et al. Pancreatic neuroendocrine tumors (pNETs): the predictive value of MDCT characteristics in the differentiation of histopathological grades. Abdom Radiol (NY), 2020, 45(10): 3155-3162.
3. Almeida RR, Lo GC, Patino M, et al. Advances in pancreatic CT imaging. AJR Am J Roentgenol, 2018, 211(1): 52-66.
4. Vaghaiwalla T, Keutgen XM. Surgical management of pancreatic neuroendocrine tumors. Surg Oncol Clin N Am, 2020, 29(2): 243-252.
5. Choi TW, Kim JH, Yu MH, et al. Pancreatic neuroendocrine tumor: prediction of the tumor grade using CT findings and computerized texture analysis. Acta Radiol, 2018, 59(4): 383-392.
6. Shawky MS, Tan J, French R. Gastroduodenal artery aneurysm: a case report and concise review of literature. Ann Vasc Dis, 2015, 8(4): 331-333.
7. 武文杰, 李晓斌, 吴文铭, 等. 胰腺内异位副脾的诊断. 中华胰腺病杂志, 2017, 17(4): 285-288.
8. Jang KM, Kim SH, Lee SJ, et al. Differentiation of an intrapancreatic accessory spleen from a small (<3 cm) solid pancreatic tumor: value of diffusion-weighted MR imaging. Radiology, 2013, 266(1): 159-167.
9. 张太平, 杨刚, 赵玉沛. 胰腺囊性疾病诊治进展. 国际外科学杂志, 2016, 43(6): 364-368.
10. 王晴柔, 陈克, 敏朱兰, 等. MDCT在鉴别胰腺实性型浆液性囊腺瘤与富血供神经内分泌肿瘤中的价值. 中国医学计算机成像杂志, 2022, 28(1): 50-55.
11. Stern JR, Frankel WL, Ellison EC, et al. Solid serous microcystic adenoma of the pancreas. World J Surg Oncol, 2007, 5: 26 .
12. 王静, 孙继红, 胡鹏, 等. 胰腺微囊型浆液性囊腺瘤的影像特征及不典型表现. 实用放射学杂志, 2015, 31(11): 1910-1913.
13. van Huijgevoort NCM, Del Chiaro M, Wolfgang CL, et al. Diagnosis and management of pancreatic cystic neoplasms: current evidence and guidelines. Nat Rev Gastroenterol Hepatol, 2019, 16: 676-689.
14. Tanis PJ, van der Gaag NA, Busch OR, et al. Systematic review of pancreatic surgery for metastatic renal cell carcinoma. Br J Surg, 2009, 96(6): 579-592.
15. Corwin MT, Lamba R, Wilson M, et al. Renal cell carcinoma metastases to the pancreas: value of arterial phase imaging at MDCT. Acta Radiol, 2013, 54(3): 349-354.

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胰腺少见富血供占位病变临床诊治分析

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