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Solid-Pseudopapillary tumor of the pancreas: Clinical and radiological features. Case report and review of the literature

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Case Reports in Clinical Medicine 2013年第7期2卷 415-421页

作者： slim jarboui Alifa Daghfous Karima Kacem Lamia Rezgui Marhoul Department of General Surgery Sidi Bouzid Hospital Sidi Bouzid Tunisia Department of Hematology Aziza Othmana Hospital Tunis Tunisia Department of Radiology Trauma Center of Ben Arous Ben Arous Tunisia

Solid-Pseudopapillary Tumor (SPT) of the pancreas is considered to be a rare pancreatic tumor that occurs in young females. Most SPTs are considered to be benign. However, the natural course of history has not yet been clarified. We reported a case of 25-year-old women with a patent history of splenectomy for hemolytic anemia, who presented intermittent abdominal pain and vomiting of 6 months ago. Physical examination revealed a hard mass of 8 × 5 cm in the left upper quadrant of the abdomen. Routine laboratory tests were within the normal range. CT-Scan showed an 8 × 6 cm lesion with irregular low density in the body and the tail of the pancreas. MRI showed a mass of 8 cm, surrounded by a capsule, with the irregular intensity both in T1 and T2 enhanced-images. Distal pancreatictomy was done as a definitive treatment via a Bi sub costal incision. Histopathological examination confirmed the diagnosis of SPT. There was no vascular invasion or other malignant features. The resection margins are free of lesions. The post operative course was uneventful. During post operative follow-up of 24 months, there is no sign of recurrence on CT-scan. SPT is a rare condition with a low potential for malignancy and favorable prognosis. Surgical resection is generally curative. Characteristic CT and MRI scans combined with age and sex profile should be sufficient for the diagnosis and the decision to operate.

关键词： Soli-Pseudopapillary Tumor Distal Pancreatectomy Pancreas

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Epstein-Barr Virus Positive Inflammatory Pseudotumor of the Spleen: Case Report and Review of the Literature

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Case Reports in Clinical Medicine 2014年第8期3卷 443-449页

作者： slim jarboui Abelwaheb Hlel Med Ali Bekkay Habib BelHaadj Khalifa Moncef Mokni Department of Anatomopathlogy Farhat Hached Hospital Sousse Tunisia Department of general surgery of Sidi Bouzid Hospital-Tunisia University of Medicine Sousse Tunisia

Inflammatory Pseudotumor (IPT) forms a group of etiologically, histologically, and biologically heterogeneous tumefactive lesions that are histologically characterized by prominent inflammatory infiltrates. It has been described in various organs including the lungs, bladder, liver, spleen, heart, and others. It may mimic a malignant tumor clinically and radiologically. Splenic IPT are most frequently detected incidentally. We report a case of 38-year-old women admitted for recurrent abdominal pain. Physical examination was unremarkable. Contrast enhanced CT showed a well hypodense, circumscribed lesion, measuring 5 × 3.5 cm. A differential diagnosis of lymphoma, teratomas, angioma or angiosarcoma was considered. The patient underwent splenectomy. Histologically, the tumor consisted of an inflammatory infiltrate composed predominantly of diffusely lymphoplasmocytic cells and stromal fibroblasts. Epstein-Barr virus was detected on in situ hybridization exclusively in the epitheloid and spindles cells. The optimal management of this tumor and eventually in asymptomatic patients is still controversial. IPT of the spleen should be remembered when evaluating single or multiple nodules in spleens. The clinical and pathological features of previously reported cases are reviewed in this paper.

关键词： Inflammatory Pseudotumor Spleen Splenectomy Epstein-Barr Virus

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