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肝内异位胰腺腺癌:病例报告及文献复习。

Adenocarcinoma arising from intrahepatic heterotopic pancreas: a case report and literature review.

机构信息

Department of Hepatobiliary Surgery, Fujian Provincial Hospital, Provincial Clinical College of Fujian Medical University, Fuzhou 350001, Fujian Province, China.

出版信息

World J Gastroenterol. 2012 Jun 14;18(22):2881-4. doi: 10.3748/wjg.v18.i22.2881.

DOI:10.3748/wjg.v18.i22.2881
PMID:22719201
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3374996/
Abstract

Heterotopic pancreas is mostly found incidentally, and adenocarcinoma arising from heterotopic pancreas appears to be extremely rare. A case of a 46-year-old woman with adenocarcinoma arising from intrahepatic heterotopic pancreas is reported herein. Computed tomography demonstrated a mass located in the bile duct of the left hepatic lobe. Pathological examination revealed a moderately differentiated adenocarcinoma arising from intrahepatic heterotopic pancreas with nerve infiltration. This may be the first reported case of adenocarcinoma arising from intrahepatic heterotopic pancreas.

摘要

异位胰腺大多为偶然发现,而由异位胰腺发生的腺癌似乎极为罕见。本文报告了一例 46 岁女性患者,其肝内异位胰腺发生腺癌。计算机断层扫描显示左肝叶胆管内有一肿块。病理检查显示为源自肝内异位胰腺的中度分化腺癌,并伴有神经浸润。这可能是首例报告的肝内异位胰腺腺癌病例。

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本文引用的文献

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Pancreatic heterotopia; review of the literature and report of 41 authenticated surgical cases, of which 25 were clinically significant.胰腺异位;文献综述及41例经证实的手术病例报告,其中25例具有临床意义。
Surg Gynecol Obstet. 1946 May;82:527-42.
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Invasive ductal adenocarcinoma arising from pancreatic heterotopia in rectum: case report and review of literature.直肠胰腺异位来源的浸润性导管腺癌:病例报告及文献复习。
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Am J Surg Pathol. 2007 Aug;31(8):1191-5. doi: 10.1097/PAS.0b013e31806841e1.
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MRI of heterotopic pancreatic tissue in the spleen.
AJR Am J Roentgenol. 2005 Sep;185(3):816-7. doi: 10.2214/ajr.185.3.01850816.
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[A case of heterotopic pancreas in the liver with primary cholesterol hepatolithiasis].[一例合并原发性胆固醇肝内胆管结石的肝脏异位胰腺病例]
Nihon Shokakibyo Gakkai Zasshi. 2000 Aug;97(8):1057-61.
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Heterotopic pancreatic tissue associated with intra- and extrahepatic choledochal cysts.与肝内和肝外胆管囊肿相关的异位胰腺组织。
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