Bush Allison, Humes Ross, Young Patrick
Department of Medicine, Uniformed Services University, Bethesda, MD.
Division of Gastroenterology, Walter Reed National Military Medical Center, Bethesda, MD.
ACG Case Rep J. 2020 Oct 12;7(10):e00455. doi: 10.14309/crj.0000000000000455. eCollection 2020 Oct.
Most of the malignant pancreatic lesions are primary pancreatic tumors with only a small percentage due to metastases. Pancreatic malignancies often present with symptoms such as jaundice and weight loss. Less commonly, new-onset diabetes mellitus has been seen in the setting of pancreatic adenocarcinomas. Although colon cancer commonly presents with metastatic disease, it typically spreads to the liver, lung, and peritoneum. We present a rare case of colon cancer metastatic to the pancreas presenting as diabetic ketoacidosis.
大多数胰腺恶性病变是原发性胰腺肿瘤，只有一小部分是转移瘤。胰腺恶性肿瘤常表现为黄疸和体重减轻等症状。较少见的是，在胰腺腺癌患者中可出现新发糖尿病。虽然结肠癌通常表现为转移性疾病，但其通常转移至肝脏、肺和腹膜。我们报告一例罕见的结肠癌转移至胰腺并表现为糖尿病酮症酸中毒的病例。
