Imaging, pathology, and diagnosis of solitary fibrous tumor of the pancreas: A case report and review of literature  

作　　者：Wen-Wen Wang Shu-Ping Zhou Xiang Wu Luo-Luo Wang Yi Ruan Jun Lu Hai-Li Li Xu-Ling Ni Li-Li Qiu Xin-Hua Zhou 

机构地区：[1]Department of Hepatobiliary and Pancreatic Surgery,The Affiliated Li Huili Hospital,Ningbo University School of Medicine,Ningbo 315000,Zhejiang Province,China [2]Ningbo College of Health Sciences,Ningbo College of Health Sciences,Ningbo 315000,Zhejiang Province,China [3]Health Science Center,Ningbo University,Ningbo 315000,Zhejiang Province,China [4]Department of Hepatobiliary and Pancreatic Surgery,The Affiliated Hangzhou First People’s Hospital,Zhejiang University School of Medicine,Hangzhou,310006,Zhejiang Province,China [5]Department of Diagnosis,Ningbo Diagnostic Pathology Center,Ningbo 315000,Zhejiang Province,China

出　　处：《World Journal of Clinical Cases》2024年第5期995-1003,共9页世界临床病例杂志

摘　　要：BACKGROUND A solitary fibrous tumor(SFT)is often located in the pleura,while SFT of the pancreas is extremely rare.Here,we report a case of SFT of the pancreas and discuss imaging,histopathology,and immunohistochemistry for accurate diagnosis and treatment.CASE SUMMARY A 54-year-old man presented to our hospital with pancreatic occupancy for over a month.There were no previous complaints of discomfort.His blood pressure was normal.Blood glucose,tumor markers,and enhanced computed tomography(CT)suggested a malignant tumor.Because the CT appearance of pancreatic cancer varies,we could not confirm the diagnosis;therefore,we performed endoscopic ultrasound-guided fine-needle biopsy(EUS-FNB).Pathology and immunohistochemistry were consistent with SFT of the pancreas.The posto-perative pathology and immunohistochemistry were consistent with the puncture results.The patient presented for a follow-up examination one month after discharge with no adverse effects.CONCLUSION Other diseases must be excluded in patients with a pancreatic mass that cannot be diagnosed.CT and pathological histology have diagnostic value for pancreatic tumors.Endoscopic puncture biopsy under ultrasound can help diagnose pancreatic masses that cannot be diagnosed preoperatively.Surgery is an effective treatment for SFT of the pancreas;however,long-term follow-up is strongly recommended because of the possibility of malignant transformation of the tumor.

关 键 词：PANCREAS Neoplasm fibrous tumor Endoscopic ultrasound-guided fine-needle biopsy Treatment Case report 

分 类 号：R735.9[医药卫生—肿瘤]