Laissus T, Lacremans D, Golinval O
Service de Pneumologie, CHR Verviers, Belgique.
Service d'Anatomopathologie, CHU Liège, Belgique.
Rev Med Liege. 2021 Jul;76(7-8):633-638.
Although metastatic lesions associated with small cell lung cancer (SCLC) are rare in the pancreas, metastatic-induced acute pancreatitis from the same cancer is even more so. We discuss the clinical case of a 67-year-old patient with SCLC, diagnosed for 21 months and stable for 3 months, presenting in the emergency department with transfixing epigastric pain. The radiological study reveals two large masses in the pancreas as well as multiple peripancreatic adenopathies. They are confirmed as metastases of the SCLC. Among several treatment proposals, the initiation of palliative analgesia by both radiotherapy and drug therapy is preferred, due to the very advanced state of SCLC and the major toxicity of other systemic treatments.
尽管与小细胞肺癌（SCLC）相关的胰腺转移瘤很少见，但同一癌症引发的转移所致急性胰腺炎更为罕见。我们讨论了一名67岁小细胞肺癌患者的临床病例，该患者已确诊21个月，病情稳定3个月，因上腹部剧痛到急诊科就诊。影像学检查显示胰腺有两个大肿块以及胰腺周围多发腺病。它们被确诊为小细胞肺癌转移灶。在几种治疗方案中，鉴于小细胞肺癌已处于非常晚期且其他全身治疗毒性较大，首选通过放疗和药物治疗开始姑息性镇痛。
