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Successful treatment of pancreatic accessory splenic hamartoma by laparoscopic spleen-preserving distal pancreatectomy:A case report

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World Journal of Gastrointestinal Oncology 2022年第5期14卷 1057-1064页

作者： Shao-Yan Xu Bo Zhou Shu-Mei Wei Ya-Nan Zhao Sheng Yan Division of Hepatobiliary and pancreatic Surgery Department of SurgeryThe Second Affiliated HospitalSchool of MedicineZhejiang UniversityHangzhou 310000Zhejiang ProvinceChina Department of Pathology The Second Affiliated HospitalSchool of MedicineZhejiang UniversityHangzhou 310000Zhejiang ProvinceChina Department of Ultrasound The Second Affiliated HospitalSchool of MedicineZhejiang UniversityHangzhou 310000Zhejiang ProvinceChina

BACKGROUND pancreatic accessory spleen(PAS)is an uncommon congenital abnormality of the *** hamartoma(SH)is also ***,hamartoma in the PAS has not been reported thus *** report the first case *** SUMMARY A 26-year-old male presented with a one-month history of left upper quadrant abdominal pain,and computerized tomography(CT)examination suggested a mass in the pancreas *** patient then attended our hospital for diagnosis and ***,CT,and magnetic resonance imaging revealed a solid mass with cystic degeneration growing from the tail of the *** tumor marker carbohydrate antigen 19-9(CA19-9)increased to 96.7 U/mL(normal range 0-37 U/mL).An epidermoid cyst in a PAS was considered ***,a malignant tumor cannot be ruled *** performed laparoscopic surgery,and two pancreatic masses were found growing from the pancreatic *** two masses were so closely connected that preoperative imaging examinations suggested only one *** carefully isolated the masses from the splenic artery and vein.A laparoscopic spleen-preserving distal pancreatectomy was successfully *** pathological examination,the masses were well-defined,homogeneous red-tan,4×3,and 4.5×1.5 in size,*** of them was cystically *** microscopical examination,the mass contained unorganized small slit-like vascular channels enclosing red blood cells and lined with plump endothelial *** area of cytologic atypia was *** lymphoid aggregates were found in the intravascular *** pulp or fibrosis was not *** final diagnosis was pancreatic accessory SH with cystic *** the operation,CA19-9 was reduced to *** patient recovered well,and the 34-mo follow-up period was *** Here,we report the first case of pancreatic accessory SH.A laparoscopic spleen-preserving distal pancreatectomy was successfully *** patient recovered well and h

关键词： pancreatic accessory spleen Splenic hamartoma Cystic degeneration Laparoscopic spleenpreserving distal pancreatectomy Case report

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