十二指肠旁胰腺炎相关胰腺腺癌：对保守治疗的警示。

Pancreatic adenocarcinoma in paraduodenal pancreatitis: a note of caution for conservative treatments.

机构信息

Division of General, Vascular, Minimally Invasive and Robotic Surgery, Department of Surgery, Hospital San Matteo degli Infermi, ASL 3 dell'Umbria,Via Loreto, 06049, Spoleto, Italy.

出版信息

Updates Surg. 2012 Dec;64(4):307-9. doi: 10.1007/s13304-011-0106-3. Epub 2011 Aug 25.

DOI:10.1007/s13304-011-0106-3

PMID:21866417

Abstract

Paraduodenal pancreatitis in heterotopic pancreas is a rare condition and few cases of malignant transformation are described. A case of cystic dystrophy of the duodenal wall in heterotopic pancreas complicated with pancreatic adenocarcinoma is described. Computed tomography, magnetic resonance and endoscopic ultrasonography failed to show preoperatively, the locally advanced adenocarcinoma raising reasonable doubts on the effectiveness and safety of conservative treatments for paraduodenal pancreatitis.

摘要

十二指肠黏膜异位胰腺的胰周胰腺炎是一种罕见的疾病，描述的恶变病例很少。本文描述了一例异位胰腺十二指肠壁囊性发育不良合并胰腺腺癌的病例。术前计算机断层扫描、磁共振成像和内镜超声检查未能显示，局部晚期腺癌对胰周胰腺炎的保守治疗的有效性和安全性提出了合理的质疑。