Noseda A, Gangji D, Cremer M
Dig Dis Sci. 1987 Mar;32(3):327-31. doi: 10.1007/BF01297062.
A 58-year-old man with no sign of pulmonary disease and a normal chest x-ray presented with acute pancreatitis resistant to conventional medical management and a mass in the head of the pancreas. The presumptive diagnosis was pancreatic cancer with tumor-induced pancreatitis. However, endoscopic retrograde cholangiopancreatography suggested metastatic rather than primary tumor, so that an extrapancreatic primary was actively sought. Further lung work-up demonstrated a small cell carcinoma of the lung. This case indicates that metastasis-induced acute pancreatitis can be the presenting symptom and sole manifestation of lung cancer.
一名58岁男性，无肺部疾病迹象，胸部X线检查正常，因对传统药物治疗无效的急性胰腺炎及胰头肿块就诊。初步诊断为胰腺癌伴肿瘤诱导性胰腺炎。然而，内镜逆行胰胆管造影提示为转移性而非原发性肿瘤，因此积极寻找胰腺外的原发灶。进一步的肺部检查发现了肺癌小细胞癌。该病例表明，转移引起的急性胰腺炎可能是肺癌的首发症状和唯一表现。
