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首页> 美国卫生研究院文献>BMJ Case Reports >Case Report: One of the multifocal intraductal papillary mucinous neoplasms with the clinical characteristics of mucinous cystic neoplasm
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Case Report: One of the multifocal intraductal papillary mucinous neoplasms with the clinical characteristics of mucinous cystic neoplasm

机译：病例报告：一种多灶性导管内乳头状黏液性肿瘤之一，具有黏液性囊性肿瘤的临床特征

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摘要

A 74-year-old woman with multiple cystic lesions in the pancreas was first examined at a previous hospital. Many of the lesions in the head and body were diagnosed as a branch duct intraductal papillary mucinous neoplasms (IPMN), but one lesion in the tail was a simple cyst. She had no surgical treatment because there were no signs of malignancy in any of the lesions. After 3 years, solid components appeared only in the tail lesion. Because of its preoperative diagnosis as a mucinous cystic neoplasm (MCN), distal pancreatectomy was performed. Histopathological findings revealed that the cystic tumour in the tail was IPMN with minimally invasive carcinoma and the other lesion in the body was IPMN with low-grade dysplasia. They were IPMNs bridged by a non-dilated main pancreatic duct. There may be some cases in which it is difficult to diagnose between IPMN and MCN.
机译：最初在先前的医院检查了一名74岁的胰腺多囊性病变的妇女。头部和身体的许多病变被诊断为分支导管导管内乳头状黏液性肿瘤（IPMN），但尾部的一个病变是简单的囊肿。她没有接受任何外科手术治疗，因为任何病变中都没有恶性迹象。 3年后，固体成分仅出现在尾部病变处。由于术前诊断为粘液性囊性肿瘤（MCN），因此进行了远端胰腺切除术。组织病理学发现显示，尾部的囊性肿瘤为IPMN，伴有微浸润性癌，体内的其他病变为IPMN，伴有轻度不典型增生。它们是由未扩张的主胰管桥接的IPMN。在某些情况下，很难在IPMN和MCN之间进行诊断。

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