Villa Nicole Ann E, Fiore Gina Maria P, Espiridion Eduardo D
Psychiatry, Drexel University College of Medicine, Wyomissing, USA.
Psychiatry, Reading Hospital, Tower Health Systems, West Reading, USA.
Cureus. 2023 Aug 30;15(8):e44363. doi: 10.7759/cureus.44363. eCollection 2023 Aug.
This case probes the potential temporal relationship between pancreatic neuroendocrine tumor (PNET) and depression. This patient has chronic symptoms of depression with no formal diagnosis until within a year of doctors suspecting her diagnosis of pancreatic cancer. An excisional biopsy confirmed a grade 1 neuroendocrine tumor (NET) in the pancreas, and postoperative psychiatric consultation confirmed continued elevated depression. This report presents an illustrative example of the ongoing research questions surrounding the relationship between the timing of a depression diagnosis and a PNET diagnosis. The depression-before-diagnosis relationship in pancreatic cancer patients is an observation that warrants further studies as depression could be a valuable early warning sign of pancreatic cancer.
本病例探究了胰腺神经内分泌肿瘤(PNET)与抑郁症之间潜在的时间关系。该患者有慢性抑郁症状,在医生怀疑其患胰腺癌不到一年的时间里都未得到正式诊断。切除活检证实胰腺存在1级神经内分泌肿瘤(NET),术后精神科会诊确认抑郁症状持续加重。本报告给出了一个具有说明性的例子,围绕抑郁症诊断时间与PNET诊断时间之间的关系存在一些尚待研究的问题。胰腺癌患者中诊断前出现抑郁症的这种关系是一个值得进一步研究的观察结果,因为抑郁症可能是胰腺癌的一个有价值的早期预警信号。