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胰腺腺癌样肿块,肝胆外科医生应记住它吗?病例报告。

A mass mimicking pancreatic adenocarcinoma, should hepatobiliary surgeons keep it in mind? a case report.

机构信息

Third Department of Surgery, Evangelismos General Hospital, Athens, Greece.

First Department of Surgery, National and Kapodistrian University of Athens, Laikon General Hospital, Athens, Greece.

出版信息

Pan Afr Med J. 2021 Feb 1;38:104. doi: 10.11604/pamj.2021.38.104.25306. eCollection 2021.

DOI:10.11604/pamj.2021.38.104.25306
PMID:33889270
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8035680/
Abstract

Isolated metastasis to pancreas from lung cancer is an extremely rare entity, usually reported in case series and case reports in the medical literature; estimated to account for up to 3-5% of all pancreatic lesions. Herein, we describe a case of a male patient suffering from metachronous metastatic lesion to the tail of the pancreas secondary to non small cell lung carcinoma treated 4 years prior to his presentation. The patient underwent pancreatic resection due to high clinical suspicion for the malignant nature of the mass, which was proved to be secondary lesion from its prior primary tumor. To the best of our insight this is one of the few reported cases of such type of pancreatic metastasis that may be misleading for hepatobiliary surgeons during preoperative evaluation.

摘要

肺癌孤立性胰腺转移极为罕见,在医学文献中通常以病例系列和病例报告的形式报道;据估计,占所有胰腺病变的 3-5%。在此,我们描述了一位男性患者的病例,他在出现症状前 4 年患有非小细胞肺癌,随后发生了同步性胰腺尾部转移性病变。由于高度怀疑该肿块的恶性性质,患者接受了胰腺切除术,事实证明该肿块是由其先前的原发性肿瘤引起的继发性病变。据我们所知,这是为数不多的几例可能导致肝胆外科医生在术前评估时产生误导的胰腺转移病例之一。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a86/8035680/e67b6be90875/PAMJ-38-104-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a86/8035680/92f1c5f049bf/PAMJ-38-104-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a86/8035680/e67b6be90875/PAMJ-38-104-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a86/8035680/92f1c5f049bf/PAMJ-38-104-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a86/8035680/e67b6be90875/PAMJ-38-104-g002.jpg

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本文引用的文献

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A long-term survival case after resection of the pancreatic metastasis from lung cancer.肺癌胰腺转移灶切除术后的长期生存病例。
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Resection of oligometastatic lung cancer to the pancreas may yield a survival benefit in select patients--a systematic review.对胰腺寡转移肺癌进行切除可能会使部分患者获得生存益处——一项系统评价。
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The role of surgery in the management of isolated metastases to the pancreas.手术在孤立性胰腺转移瘤管理中的作用。
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[Solitary metastasis to the pancreas in a patient with lung cancer].[肺癌患者胰腺孤立性转移]
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