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一例因大肠梗阻行剖腹探查术而发现胰腺癌的独特病例。

A Unique Case of Exploratory Laparotomy in the Setting of Large Bowel Obstruction Led to the Detection of Pancreatic Carcinoma.

作者信息

Kochhar Smriti, Zuckerberg Allison, Kocur Mariusz, Bommu Veera Jayasree Latha, Ikwuanusi Ifeanyi, Lake Thomas, Cotler Harrison, Cheriyath Pramil

机构信息

Medicine, Hackensack Meridian Ocean Medical Center, Brick, USA.

Medicine, Rowan School of Osteopathic Medicine, Stratford, USA.

出版信息

Cureus. 2022 Jan 24;14(1):e21565. doi: 10.7759/cureus.21565. eCollection 2022 Jan.

Abstract

Pancreatic adenocarcinoma is the second most common gastrointestinal cancer after colon cancer. There is a delay in the detection of pancreatic adenocarcinoma as it remains asymptomatic in many individuals until it has metastasized to different parts of the body. We present a case of pancreatic cancer causing a large bowel obstruction in a 78-year-old female, detected during an exploratory laparotomy. Despite the increased incidence of pancreatic cancer, there are no screening guidelines that have been enacted for early detection and cure. Practicing clinicians should keep pancreatic cancer in the differential in high-risk individuals.

摘要

胰腺腺癌是仅次于结肠癌的第二常见胃肠道癌症。胰腺腺癌的检测存在延迟,因为许多人在其转移至身体不同部位之前都没有症状。我们报告一例78岁女性因胰腺癌导致大肠梗阻的病例,该病例在剖腹探查术中被发现。尽管胰腺癌的发病率有所上升,但尚未制定用于早期检测和治愈的筛查指南。临床医生应将胰腺癌纳入高危人群的鉴别诊断中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79e9/8865910/28a4daf472c6/cureus-0014-00000021565-i01.jpg

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