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以深静脉血栓形成表现的胰腺钩突癌:一例报告

Carcinoma of the uncinate process of the pancreas presenting with deep vein thrombosis: a case report.

作者信息

Shanmugarajah Kumaran, Hui Elaine, Vergis Nikhil, Schelvan Chris, Robinson Stephen

机构信息

Department of Endocrinology and Metabolic Medicine, The Mint Wing, Imperial College Healthcare NHS Trust, St Mary's Hospital,London, W2 1NY, UK. kumaran.shanmugarajah

出版信息

Cases J. 2009 Sep 16;2:8780. doi: 10.1186/1757-1626-0002-0000008780.

DOI:10.1186/1757-1626-0002-0000008780
PMID:20184696
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2827061/
Abstract

The uncinate process is a hook-like projection of the inferior aspect of the head of the pancreas. Carcinoma of the uncinate process of the pancreas is considered to be rare, difficult to diagnose and particularly devastating. The current method of detection is computed tomography. We report a case of carcinoma of the uncinate process of the pancreas in a patient who initially presented with deep vein thrombosis. The diagnosis of carcinoma of the uncinate process of the pancreas should be considered in patients who present with primary thromboembolic disease and other nonspecific signs.

摘要

钩突是胰腺头部下侧的钩状突起。胰腺钩突癌被认为较为罕见,诊断困难且具有极大的破坏性。目前的检测方法是计算机断层扫描。我们报告一例胰腺钩突癌患者,该患者最初表现为深静脉血栓形成。对于出现原发性血栓栓塞性疾病及其他非特异性症状的患者,应考虑胰腺钩突癌的诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4372/2827061/8f43ea057567/1757-1626-0002-0000008780-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4372/2827061/63bce70fc733/1757-1626-0002-0000008780-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4372/2827061/8f43ea057567/1757-1626-0002-0000008780-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4372/2827061/63bce70fc733/1757-1626-0002-0000008780-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4372/2827061/8f43ea057567/1757-1626-0002-0000008780-2.jpg

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本文引用的文献

1
Thromboembolism in hospitalized neutropenic cancer patients.住院中性粒细胞减少癌症患者的血栓栓塞
J Clin Oncol. 2006 Jan 20;24(3):484-90. doi: 10.1200/JCO.2005.03.8877.
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Pancreatic cancer and thromboembolic disease.胰腺癌与血栓栓塞性疾病
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Clinical analysis of uncinate process carcinoma of the pancreas.胰腺钩突癌的临床分析
Hepatobiliary Pancreat Dis Int. 2003 Nov;2(4):605-8.
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Carcinoma of the head of the pancreas arising from the uncinate process.源于钩突的胰头癌。
Br J Surg. 1998 Apr;85(4):498-501. doi: 10.1046/j.1365-2168.1998.00629.x.
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The clinical relevance of the tumor marker CA 19-9 in the diagnosing and monitoring of pancreatic carcinoma.肿瘤标志物CA 19-9在胰腺癌诊断和监测中的临床意义。
Bull Cancer. 1990;77(1):83-91.
9
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Am J Gastroenterol. 1992 Aug;87(8):1046-50.