Riker A, Bartlett D
Surgery Branch, National Cancer Institute, National Institutes of Health, Bethesda, Maryland 20892, USA.
Hepatogastroenterology. 1999 May-Jun;46(27):2005-10.
This is a case report of a patient with chronic pancreatitis who presented with biliary, duodenal and portal vein obstruction, a mass in the head of the pancreas, and a CA 19-9 level of 372 U/ml. Thus, the concern was raised as to the possibility of pancreatic cancer in this patient. We discuss the difficulties in the diagnosis of pancreatic cancer in patients with chronic pancreatitis and the treatment options available for patients with chronic pancreatitis where the significant findings involve the head of the pancreas. Finally, a brief review is given describing the pertinent literature on the surgical treatment of chronic pancreatitis and the current indications of pancreaticoduodenectomy for chronic pancreatitis.
这是一例慢性胰腺炎患者的病例报告，该患者出现胆管、十二指肠和门静脉梗阻，胰腺头部有肿块，CA 19-9水平为372 U/ml。因此，引发了对该患者患胰腺癌可能性的担忧。我们讨论了慢性胰腺炎患者胰腺癌诊断的困难，以及对于胰腺头部有显著病变的慢性胰腺炎患者可用的治疗选择。最后，简要回顾了关于慢性胰腺炎外科治疗的相关文献以及目前慢性胰腺炎胰十二指肠切除术的适应证。
