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一名患有干燥综合征的成年人的腹膜癌病:揭示与原发性胃腺癌罕见关联的诊断难题

Peritoneal Carcinomatosis in an Adult With Sjögren's Syndrome: A Diagnostic Dilemma Revealing a Rare Association With Primary Gastric Adenocarcinoma.

作者信息

Findakly Dawood

机构信息

Internal Medicine, Creighton University Arizona Health Education Alliance/Valleywise Health Medical Center, Phoenix, USA.

出版信息

Cureus. 2020 May 14;12(5):e8123. doi: 10.7759/cureus.8123.

Abstract

Sjögren's syndrome (SS) is a systemic autoimmune disease that mainly affects middle-aged women. It is rarely associated with solid neoplasms. We report a 60-year-old woman with a past medical history relevant for SS who was diagnosed with advanced-stage gastric adenocarcinoma upon evaluating for peritoneal carcinomatosis and succumbed two months after her original diagnosis. This case highlights the significance of considering gastrointestinal (GI) malignancy as an essential differential, particularly when evaluating patients with SS who fail conservative treatment for their GI symptoms.

摘要

干燥综合征(SS)是一种主要影响中年女性的全身性自身免疫性疾病。它很少与实体肿瘤相关。我们报告了一名60岁女性,既往有与SS相关的病史,在评估腹膜癌病时被诊断为晚期胃腺癌,并在最初诊断后两个月死亡。该病例强调了将胃肠道(GI)恶性肿瘤作为重要鉴别诊断的意义,特别是在评估有胃肠道症状但保守治疗无效的SS患者时。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96d7/7228793/43855f4dd2a0/cureus-0012-00000008123-i01.jpg

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