脾梗死。一种罕见的间变性胰腺癌表现及文献综述。
Splenic infarction. A rare presentation of anaplastic pancreatic carcinoma and a review of the literature.
作者信息
Wong Manzhi, See Ju-Yaw, Sufyan Wajiha, Diddapur Ravishankar K
机构信息
Department of Surgery, National University Hospital, Singapore, Singapore.
出版信息
JOP. 2008 Jul 10;9(4):493-8.
CONTEXT
Anaplastic carcinoma of the pancreas is a rare variant of ductal adenocarcinoma. The histogenesis and biologic behavior of these tumors are still controversial. They occur in elderly men and are associated with a very poor prognosis.
CASE REPORT
We report a case of advanced anaplastic carcinoma in a 41-year-old man who presented with splenic infarction. He had a prolonged survival of 16 months from diagnosis.
CONCLUSION
Splenic infarction is a most unusual acute presentation of pancreatic carcinoma, which may require emergency tumor resection and splenectomy.
背景
胰腺未分化癌是导管腺癌的一种罕见变体。这些肿瘤的组织发生和生物学行为仍存在争议。它们发生于老年男性，预后很差。
病例报告
我们报告一例41岁男性晚期未分化癌病例，该患者出现脾梗死。自诊断后他存活了16个月。
结论
脾梗死是胰腺癌一种极不寻常的急性表现，可能需要紧急肿瘤切除和脾切除术。
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