Lai Jiun Miin, Crowley Peter, Nikfarjam Mehrdad
Department of Surgery, University of Melbourne, Austin Health. Melbourne, Victoria, Australia.
JOP. 2011 Mar 9;12(2):185-9.
Retroperitoneal lymph node enlargement in patients with pancreatic cancer is sometimes treated as incurable disease. Non-metastatic causes of lymphadenopathy should however be considered.
Two cases of significant retroperitoneal lymphadenopathy in the setting of pancreatic cancer, treated by pancreaticoduodenectomy and lymph node dissection are described. Both cases had a final diagnosis of concurrent pancreatic cancer and lymphoma with no evidence of pancreatic lymph node metastasis on histopathology.
We discuss the patterns of normal lymph node involvement in pancreatic cancer and lymphoma.
Interpretation of staging imaging is important in patients with pancreatic cancer. Not all enlarged lymph node should be attributed to pancreatic cancer.
胰腺癌患者出现腹膜后淋巴结肿大有时会被视为无法治愈的疾病。然而，应考虑淋巴结病的非转移性病因。
描述了2例胰腺癌患者出现显著腹膜后淋巴结肿大，经胰十二指肠切除术和淋巴结清扫术治疗的病例。两例最终诊断均为胰腺癌合并淋巴瘤，组织病理学检查未发现胰腺淋巴结转移证据。
我们讨论了胰腺癌和淋巴瘤中正常淋巴结受累的模式。
对于胰腺癌患者，分期影像学检查结果的解读很重要。并非所有肿大的淋巴结都应归因于胰腺癌。
