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Permalink : https://petit.lib.yamaguchi-u.ac.jp/18776
山口医学 Volume 60 Issue 3
published_at 2011-06-30
Solid-pseudopapillary tumor of the pancreatic head arising in a young man : report of a case
若年男子に発症した膵頭部solid-pseudopapillary tumor(SPT)の1例(症例報告)
About This Article
Descriptions
症例は18歳の男性.嘔気･嘔吐を主訴に近医を受診し,膵頭部腫瘤を指摘され当科へ紹介となった.膵頭部に82×53mm大の境界明瞭な被膜様被包のある腫瘤があり,内部に隔壁と石灰化を認めた.内視鏡的超音波画像下針生検(EUS-FNA)を行い,solid-pseudopapillary tumor(SPT)を疑われ,十二指腸温存膵頭部切除術を行った.術後の病理所見では,多角形の腫瘍細胞が血管間質を伴ってシート状に増生している像や,毛細血管の芯(core)を有するpseudopapillaryな像も見られSPTと診断した.術後経過は良好で,現在術後1年であるが再発所見は認めていない.本疾患は低悪性度腫瘍と考えられているため,今回我々が行った十二指腸温存膵頭部切除術のような,臓器機能を温存した手術のよい適応と考えられる.
Creator Keywords
膵頭部
solid-pseudopapillary tumor(SPT)
十二指腸温存膵頭部切除術
Other Article
PP. 57 - 62