Service of oncologic and gastrointestinal surgery, centre de lutte contre le cancer, institut Paoli-Calmette, 232, boulevard Sainte-Marguerite, 13009 Marseille, France.
J Visc Surg. 2010 Feb;147(1):e58-62. doi: 10.1016/j.jviscsurg.2010.02.006. Epub 2010 Mar 27.
We report the case of an asymptomatic 56-year-old woman with a metastatic pancreatic endocrine tumor, fortuitously discovered by abdominal imaging. A CT-scan showed a large mass in the pancreatic tail invading the spleen and stomach; in addition, there was neoplastic thrombus within the spleno-mesentericoportal venous confluence and bilobar liver metastases. Surgical resection was performed in two stages. The first procedure was an extended left pancreatectomy with venous thrombectomy and "clearance" of the left hepatic lobe. During the interval, embolization of the right portal vein was carried out. Right hepatectomy and radiofrequency destruction of residual metastases was then performed. On the basis of completeness of the resection and the histopathological data, the patient did not undergo any adjuvant therapy, in accordance with French guidelines. At 1 year of follow-up, there was no evidence of recurrence.
我们报告了一例偶然通过腹部影像学发现的无症状 56 岁女性患有转移性胰腺内分泌肿瘤。CT 扫描显示胰腺尾部有一个大肿块，侵犯了脾脏和胃；此外，脾肠系膜门静脉汇合处有肿瘤性血栓，并且存在双侧肝转移。手术分两阶段进行。第一阶段是进行扩大的左胰切除术，包括静脉取栓和左半肝“清除”。在此期间，对右门静脉进行了栓塞。然后进行右半肝切除术和射频消融残余转移灶。根据切除的完整性和组织病理学数据，该患者未按照法国指南进行任何辅助治疗。在 1 年的随访中，没有复发的证据。
