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胰腺继发肿瘤:病例系列。

Secondary tumors of the pancreas: a case series.

机构信息

Columbia University College of Physicians and Surgeons, New York, NY, USA.

出版信息

Anticancer Res. 2012 Apr;32(4):1449-52.

Abstract

Metastatic carcinoma of the pancreas from another primary site is uncommon and it accounts for 2-5% of all pancreatic cancer cases. We reported the case of one patient with pancreatic metastasis from colon carcinoma in the past and would like to add another six cases of pancreatic metastases from different types of cancer. The diagnosis of cancer metastatic to the pancreas should be suspected when patients have a history of malignancy, especially of kidney, skin, lung, colon and breast cancer. Besides imaging studies, such as computed tomography (CT) scan, bone scan and positron emission tomography (PET)/CT scan, endoscopic ultrasound (EUS)-guided biopsy has most value in ruling out second primary pancreatic cancer. The prognosis of pancreatic metastases is essentially determined by the underlying primary cancer and the potential treatment options.

摘要

胰腺转移癌来自其他原发灶并不常见,约占所有胰腺癌的 2-5%。我们曾报道过一例结肠癌胰腺转移病例,现又增加了另外六例来自不同类型癌症的胰腺转移病例。当患者有恶性肿瘤病史,尤其是肾癌、皮肤癌、肺癌、结肠癌和乳腺癌病史时,应怀疑胰腺转移癌的诊断。除了影像学检查,如计算机断层扫描(CT)、骨扫描和正电子发射断层扫描(PET)/CT 扫描外,内镜超声(EUS)引导下活检对排除第二原发胰腺癌最有价值。胰腺转移的预后主要取决于基础原发性癌症和潜在的治疗选择。

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