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在一位生长抑素抵抗性血管活性肠肽瘤患者中,经肝动脉化疗栓塞治疗后症状改善,VIP 水平降低。

Amelioration of symptoms and reduction of VIP levels after hepatic artery chemoembolization in a patient with sandostatin resistant VIPoma.

机构信息

Hospital of Saint Raphael, New Haven, Connecticut, USA.

出版信息

Yale J Biol Med. 2010 Mar;83(1):27-33.

PMID:20351979
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2844690/
Abstract

Vasoactive intestinal polypeptide secreting islet cell tumors (VIPomas) are neuroendocrine tumors that secrete excessive amounts of vasoactive intestinal polypeptide (VIP) that cause distinct syndromes characterized by large-volume diarrhea, hypokalemia, and dehydration. The annual incidence of these tumors is estimated to be about one per 10,000,000 individuals in the general population. We report a successful treatment of VIPoma with hepatic chemoembolization of a metastatic hepatic lesion evidenced by a reduction of VIP levels and resolutions of symptoms in a patient with pancreatic VIPoma unresponsive to increased doses of an octreotide analog.

摘要

分泌血管活性肠肽的胰岛细胞瘤(VIPomas)是一种神经内分泌肿瘤,其过度分泌血管活性肠肽(VIP),导致具有特征性的大量腹泻、低钾血症和脱水的综合征。这些肿瘤的年发病率估计在普通人群中约为每 1000 万人中有 1 例。我们报告了一例肝转移病灶的肝动脉化疗栓塞术成功治疗 VIPoma 的病例,VIP 水平降低,并且对奥曲肽类似物增加剂量无反应的胰VIP 瘤患者的症状得到缓解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d178/2844690/577f1bca021f/yjbm_83_1_27_g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d178/2844690/21bb2164df93/yjbm_83_1_27_g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d178/2844690/830dd9632619/yjbm_83_1_27_g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d178/2844690/577f1bca021f/yjbm_83_1_27_g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d178/2844690/21bb2164df93/yjbm_83_1_27_g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d178/2844690/830dd9632619/yjbm_83_1_27_g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d178/2844690/577f1bca021f/yjbm_83_1_27_g03.jpg

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本文引用的文献

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World J Surg. 2008 May;32(5):930-8. doi: 10.1007/s00268-008-9510-3.
2
Treatment with combined streptozotocin and liposomal doxorubicin in metastatic endocrine pancreatic tumors.联合链脲佐菌素和脂质体阿霉素治疗转移性内分泌胰腺肿瘤。
Neuroendocrinology. 2008;88(1):53-8. doi: 10.1159/000117575. Epub 2008 Feb 18.
3
The place of somatostatin analogs in the diagnosis and treatment of the neuoroendocrine glands tumors.
手术切除伴有肝转移的血管活性肠肽瘤有助于缓解症状:一例报告
Exp Ther Med. 2016 Mar;11(3):783-787. doi: 10.3892/etm.2016.3019. Epub 2016 Jan 22.
生长抑素类似物在神经内分泌肿瘤诊断和治疗中的地位。
Recent Pat Anticancer Drug Discov. 2006 Jun;1(2):237-54. doi: 10.2174/157489206777442197.
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Temozolomide as monotherapy is effective in treatment of advanced malignant neuroendocrine tumors.替莫唑胺单药治疗对晚期恶性神经内分泌肿瘤有效。
Clin Cancer Res. 2007 May 15;13(10):2986-91. doi: 10.1158/1078-0432.CCR-06-2053.
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Surgery on neuroendocrine tumours.神经内分泌肿瘤手术
Best Pract Res Clin Endocrinol Metab. 2007 Mar;21(1):87-109. doi: 10.1016/j.beem.2006.12.004.
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Hepatic arterial embolization and chemoembolization for the treatment of patients with metastatic neuroendocrine tumors: variables affecting response rates and survival.肝动脉栓塞和化疗栓塞治疗转移性神经内分泌肿瘤患者:影响缓解率和生存率的变量
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