摘要
囊腺瘤可见于卵巢、胰腺、肝、肺、甲状腺等部位,但发生于小肠的囊腺瘤很少见,其临床表现及疾病预后尚不清楚,极易误诊或漏诊。本文即报道1例发生于小肠(空肠段)的囊腺瘤,并结合相关文献复习,以进一步提升对囊腺瘤及小肠肿瘤的认识。1病例资料患者,男,49岁,主因体检发现左上腹占位性病变,被河北省肿瘤医院收入院行进一步检查。
In recent years,there have been more and more reports about cystadenoma.Cystadenoma can occur in many parts of the body,and cystadenoma in different parts may show different clinical symptoms,however,some patients with cystadenoma have no symptoms.The vast majority of cystadenomas are benign lesions,but a small number of cystadenomas can be malignant.For example,a small number of ovarian cystadenomas and pancreatic cystadenomas may be malignant.This study reported a patient with small intestinal cystadenoma diagnosed by pathology.The patient’s physical examination revealed a lesion in the left upper abdomen.He had only abdominal distension and no other discomfort.His laboratory examination results were basically normal,i.e.blood routine,urine routine,stool routine,liver function,kidney function,myocardial enzyme,tumor marker,etc.The patient underwent sectional small intestine resection and the pathological sample was analyzed.The histological findings of the resected intestinal sample were consistent with cystadenoma.Computed tomography scan of the abdomen was performed 4 months after the surgery.No recurrence of the tumor was found.The patient recovered in good condition.By consulting the literature,I found very few reports of small intestinal cystadenoma before,it was very rare.This article described the clinical manifestation,diagnosis and differential diagnosis,treatment and prognosis of a case of small intestinal cystadenoma,it suggested that cystadenoma can occur in the small intestine,other than the ovary,pancreas,liver,lung,thyroid,prostate,seminal vesicle,skin,etc.The cystadenoma in small intestine is easy to be mistaken with other tumors,such as small intestine stromal tumor,small intestine adenocarcinoma,small intestine lipoma,small intestine hemangiomas,etc.,and it is difficult to fully confirm through imaging examinations,such as computed tomography and magnetic resonance imaging.Laparotomy and histopathological examination are necessary before definitive diagnosis.This disease can be treated by sm
作者
王骁
李兆星
范焕芳
魏莉瑛
郭旭瑾
郭娜
王彤
WANG Xiao;LI Zhao-xing;FAN Huan-fang;WEI Li-ying;GUO Xu-jin;GUO Na;WANG Tong(Department of Oncology,Hebei Hosptical of Traditional Chinese Medicine Affiliated to Hebei University of Traditional Chinese Medicine,Shijiazhuang 050011,China;The Third Surgery Department,Hebei Tumor Hospital Affiliated to Hebei Medical University,Shijiazhuang 050011,China)
出处
《北京大学学报（医学版）》
CAS
CSCD
北大核心
2020年第2期382-384,共3页
Journal of Peking University:Health Sciences
关键词
小肠
囊腺瘤
诊断
治疗
预后
Intestine,small
Cystadenoma
Diagnosis
Treatment
Prognosis
