Polkey M I, Cook G R, Thomson A D, Taylor N F
Department of Medicine, Greenwich District Hospital, London, UK.
Postgrad Med J. 1991 Nov;67(793):1015-7. doi: 10.1136/pgmj.67.793.1015.
A patient with an oesophageal adenocarcinoma, recent onset of digital clubbing, and evidence of increased oestrogen synthesis is presented. In the discussion, some of the theories of the pathogenesis of clubbing are reviewed, together with previous reports of clubbing in gastro-oesophageal disorders. A possible unifying theory is proposed for our case which we believe is the first report of this triple association.
本文报告一例患有食管腺癌、近期出现杵状指且有雌激素合成增加证据的患者。在讨论中,回顾了杵状指发病机制的一些理论,以及既往关于胃食管疾病中杵状指的报道。针对我们的病例提出了一种可能的统一理论,我们认为这是这种三联征的首例报告。