十二指肠起源的恶性蝾螈瘤切除术后13年出现肝转移。
Liver metastasis 13 years after the resection of a malignant triton tumor originating in the duodenum.
作者信息
Ohashi Keita, Asahi Yoh, Kamiyama Toshiya, Kakisaka Tatsuhiko, Orimo Tatsuya, Nagatsu Akihisa, Sakamoto Yuzuru, Kamachi Hirofumi, Takagi Tomofumi, Otsuka Takuya, Mitsuhashi Tomoko, Sugita Shintaro, Hasegawa Tadashi, Taketomi Akinobu
机构信息
Department of Gastroenterological Surgery I, Hokkaido University Hospital, Kita-ku, Kita 15, Nishi 7, Sapporo, Hokkaido 060-8638 Japan.
Department of Gastroenterology, Japan Community Health Care Organization Sapporo Hokushin Hospital, Atsubetsu-Ku, Chuoh 2-jo, 6-2-1, Sapporo, Hokkaido 004-8618 Japan.
出版信息
Int Cancer Conf J. 2022 Mar 15;11(3):178-183. doi: 10.1007/s13691-022-00544-z. eCollection 2022 Jul.
This is an additional case report of a malignant triton tumor arising in the duodenum that was removed by pancreatoduodenectomy. Liver and gallbladder dysfunctions were detected in a regular blood examination during a follow-up for hypertension in a 62-year-old woman with a previous surgical history for a malignant Triton tumor in the duodenum 13 years ago. Further examinations revealed a metastatic liver tumor originating from the malignant triton tumor in the duodenum. Since the progression of the liver tumor was detected after radiation therapy, complete resection was performed by right hepatectomy. Curative hepatectomy resulted in disease-free survival for 1 year and 5 months in an extremely rare case of liver metastasis derived from a malignant triton tumor in the duodenum.
这是一例十二指肠恶性蝾螈瘤的病例报告，该肿瘤通过胰十二指肠切除术切除。一名62岁女性，有13年前十二指肠恶性蝾螈瘤手术史，在高血压随访期间的常规血液检查中发现肝脏和胆囊功能障碍。进一步检查发现肝脏肿瘤转移源自十二指肠的恶性蝾螈瘤。由于放疗后发现肝脏肿瘤进展，遂行右肝切除术进行完整切除。在十二指肠恶性蝾螈瘤肝转移这一极为罕见的病例中，根治性肝切除使患者无病生存了1年零5个月。
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