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[一例以转移诱导性急性胰腺炎诊断的小细胞肺癌病例]

[A Case of Small Cell Lung Cancer Diagnosed with Metastasis-Induced Acute Pancreatitis].

作者信息

Ito Noriaki, Oshita Hideto, Isoyama Shoko, Senoo Misato, Kawasaki Kohei, Okusaki Ken

机构信息

Dept. of Internal Medicine, Mihara Medical Association Hospital.

出版信息

Gan To Kagaku Ryoho. 2019 Jul;46(7):1175-1177.

Abstract

A 56-year-old man was admitted to our hospital for management of acute epigastric abdominal pain and elevation of pancreatic enzymes. The CT scan revealed enlargement ofthe pancreatic body as well as the lung tumor ofthe right hilar and superior mediastinum. Therefore, bronchoscopy was performed and a diagnosis of small cell lung cancer with metastasisinduced acute pancreatitis(MIAP)was made. Prompt improvement in pancreatic findings was observed following chemotherapy. MIAP, which is a rare complication of lung cancer may affect the prognosis and quality of life of the patients; therefore, rapid diagnosis and appropriate treatment are important.

摘要

一名56岁男性因急性上腹部疼痛和胰腺酶升高入住我院。CT扫描显示胰体增大以及右肺门和上纵隔的肺部肿瘤。因此,进行了支气管镜检查,诊断为小细胞肺癌伴转移引起的急性胰腺炎(MIAP)。化疗后胰腺检查结果迅速改善。MIAP是肺癌的一种罕见并发症,可能影响患者的预后和生活质量;因此,快速诊断和适当治疗很重要。

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