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误诊为胰腺癌的髓外浆细胞瘤:一例报告及文献复习

Extramedullary plasmacytoma mimicking pancreatic cancer: A case report and literature review.

作者信息

Kim Jae Hyung, Paik Woo Hyun, Joo Mee, Kim Jung Gon, Kim Jong Wook, Bae Won Ki, Kim Nam-Hoon, Kim Kyung-Ah, Lee June Sung

机构信息

Department of Internal Medicine, Ilsan Paik Hospital, Inje University, Goyang, South Korea.

Department of Pathology, Ilsan Paik Hospital, Inje University, Goyang, South Korea.

出版信息

Endosc Ultrasound. 2017 Jul-Aug;6(4):269-272. doi: 10.4103/2303-9027.190923.

Abstract

Pancreatic adenocarcinoma may account for more than 80% of all pancreatic neoplasms. Occasionally, other rare tumors such as lymphoma, metastatic tumor, and solid pseudopapillary neoplasm can be considered in the differential diagnosis. We report the case of an 82-year-old man with a pancreatic solid mass. This case suggests that endoscopic ultrasound (EUS)-guided fine-needle aspiration (FNA) with biopsy, that is, EUS-FNA is recommended in the differential diagnosis of the pancreatic solid mass apart from pancreatic adenocarcinoma. In particular, the histologic core obtained by EUS-guided biopsy is helpful for the immunostaining of molecular markers to confirm the final diagnosis.

摘要

胰腺腺癌可能占所有胰腺肿瘤的80%以上。偶尔,在鉴别诊断中可考虑其他罕见肿瘤,如淋巴瘤、转移瘤和实性假乳头状瘤。我们报告一例82岁男性胰腺实性肿块病例。该病例表明,对于胰腺腺癌以外的胰腺实性肿块的鉴别诊断,推荐采用内镜超声(EUS)引导下细针穿刺抽吸活检(FNA),即EUS-FNA。特别是,EUS引导下活检获得的组织学核心有助于对分子标志物进行免疫染色以确诊。

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