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頁籤選單縮合
題名 | Retroperitoneal Foregut Cyst=後腹腔前腸囊腫 |
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作者 | 蔡依達; 余政展; 李芳儀; 吳誠中; Tsai, I-ta; Yu, Cheng-chan; Lee, Fang-yi; Wu, Cheng-chung; |
期刊 | 臺灣癌症醫學雜誌 |
出版日期 | 20130900 |
卷期 | 29:3 2013.09[民102.09] |
頁次 | 頁160-164 |
分類號 | 416.242 |
語文 | eng |
關鍵詞 | 前腸囊腫; 後腹腔; Foregut cyst; Retroperitoneum; |
中文摘要 | 前腸囊腫是由胚胎構造之前腸衍生而來,被發現之位置通常位於縱隔腔內,其餘部 位,例如後縱隔腔,則為罕見。術前要正確的診斷並不容易。以下報告一位腫塊發生於 胰臟周邊之案例,其囊腫內含混濁淡黃色之液體,於病理檢視下,內襯為單層上皮組織 及纖毛立方上皮組織,周圍環繞有肌肉層但無其餘上皮衍生物,診斷為後腹腔之前腸囊 腫。對無症狀之病患而言,是否具有手術適應症仍有爭議,但因其潛藏惡性變化之風險, 藉由手術確立診斷仍為一重要考量。 |
英文摘要 | A foregut cyst derives from the embryonic foregut, and is usually located in the mediastinum. Other locations, such as in the retroperitoneum, are uncommon. Preoperative accurate diagnosis is sometimes difficult. We present a patient with a peripancreatic cystic mass. The resected cyst contained turbid yellowish fluid. Pathologic examination showed that it was lined by simple, ciliated and low cuboidal epithelium. The surrounding muscular layers did not have any other epithelial or mesenchymal components. The diagnosis of retroperitoneal foregut cyst was established. In asymptomatic patients, surgical intervention is controversial. However, considering the potential risks of malignant transformation, surgery might be an important step for obtaining a definite diagnosis. |
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