Soldati T, Del Noce G, Garino M, Farina E C, De Paolis P, Balbo G
General Surgery Department B, Molinette Hospital, Turin, Italy.
Panminerva Med. 1990 Jul-Sep;32(3):141-4.
The Authors describe a case of somatostatinoma in the pancreatic tail, characterized by the absence of a specific symptomatology, with the exception of a slight hyperglycaemia. The patient underwent a surgical operation of pancreatic resection and splenectomy, and now enjoys very good health. They have examined literature from 1977 to 1988, and overall the 30 cases of pancreatic localization, describing the symptomatology, the pathological anatomy, the therapy, and evaluating the malignity degree. Then the Authors could notice that the prognosis of these neoplasms is often fatal, both for the frequent tumor metastatization, and for the difficulties in making an early diagnosis. The therapy is essentially surgical.
作者描述了一例胰尾生长抑素瘤病例,其特点是除轻度高血糖外无特定症状。该患者接受了胰腺切除和脾切除手术,目前健康状况良好。他们查阅了1977年至1988年的文献,总共30例胰腺定位病例,描述了症状、病理解剖、治疗方法,并评估了恶性程度。作者随后注意到,这些肿瘤的预后往往是致命的,这既是因为肿瘤频繁转移,也是因为早期诊断存在困难。治疗主要是手术治疗。