胰腺腺泡囊性转化1例

Cystic transformation of pancreatic acinar:A case report

回顾性分析1例罕见胰腺非肿瘤性囊性病变的相关临床病理资料。患者,男,18岁,因发现胰腺囊肿10个月余于昆明医科大学第二附属医院治疗,入院后在静吸复合麻醉下行保留胰十二指肠、脾的全胰切除术。术后患者恢复良好,随访至今未见复发。术后病理大体检查提示病变呈多房囊性,光镜下囊腔内可见嗜酸性分泌物,病变区域上皮细胞温和,未见明显异型性。结合患者临床、影像学及病理资料,最终明确诊断为胰腺腺泡囊性转化。

The clinicopathological data related to a rare non-neoplastic cystic lesion of pancreas was retrospectively analyzed.The patient,an 18-year-old male,was admitted to the Second Affiliated Hospital of Kunming Medical University for treatment of pancreatic cysts that have been present for over 10 months.After admission,the total pancreatectomy was performed with preservation of the pancreaticoduodenum and spleen under combined anesthesia with inhalation.The patient recovered well after surgery and no recurrence was observed during follow-up.Postoperative pathological gross examination revealed a multilocular cystic lesion with eosinophilic secretions in the cystic cavity under the microscope.The epithelial cells in the affected area appeared benign,without significant dysplasia.Combined clinical,radiological,and pathological data,the final diagnosis was confirmed as pancreatic acinar cystic transformation.