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原发性肝门部胆管神经内分泌肿瘤:一例报告并文献复习

Primary perihilar bile duct neuroendocrine tumor: a case report and review of the literature.

作者信息

Ai Haidong, Gong Ting, Ma Yongbiao, Ma Guixu, Zhao Jingjing, Zhao Xuelin

机构信息

Hepatobiliary and Pancreatic Medical Center, The First Affiliated Hospital of Weifang Medical College (Weifang People's Hospital) Weifang, Shandong, China.

Department of Ophthalmology, The First Affiliated Hospital of Weifang Medical College (Weifang People's Hospital) Weifang, Shandong, China.

出版信息

Am J Transl Res. 2024 Feb 15;16(2):531-538. doi: 10.62347/HFBY5551. eCollection 2024.

Abstract

Neuroendocrine tumors represent a rare neoplastic entity, with even rarer occurrences within the biliary tract system. The pathogenesis of such conditions remains enigmatic. Clinical manifestations and radiological evaluations exhibit limited specificity, rendering preoperative diagnoses challenging. As of now, definitive therapeutic modalities remain elusive. Surgical excision stands as the paramount approach for managing biliary neuroendocrine tumors. A thorough preoperative assessment should precede the formulation of a judicious surgical strategy. Postoperative targeted adjuvant therapies hold promise in enhancing therapeutic efficacy and retarding tumor recurrence. This article chronicles a case study detailing a neuroendocrine tumor's diagnostic and treatment course within the perihilar bile duct. Integrating pertinent literature, it encapsulates the clinical attributes and diagnostic and therapeutic advancements in biliary neuroendocrine tumors. The aspiration is to augment awareness of this category of ailments, mitigating the occurrence of both missed and erroneous diagnoses, and furnishing a reference for forthcoming clinical endeavors.

摘要

神经内分泌肿瘤是一种罕见的肿瘤实体,在胆道系统中更为罕见。此类疾病的发病机制仍不清楚。临床表现和影像学评估的特异性有限,术前诊断具有挑战性。目前,确切的治疗方式仍不明确。手术切除是治疗胆道神经内分泌肿瘤的首要方法。在制定明智的手术策略之前,应进行全面的术前评估。术后靶向辅助治疗有望提高治疗效果并延缓肿瘤复发。本文记录了一例肝门部胆管神经内分泌肿瘤的诊断和治疗过程。结合相关文献,总结了胆道神经内分泌肿瘤的临床特点以及诊断和治疗进展。旨在提高对这类疾病的认识,减少漏诊和误诊的发生,并为未来临床工作提供参考。

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本文引用的文献

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The 2019 WHO classification of tumours of the digestive system.2019年世界卫生组织消化系统肿瘤分类。
Histopathology. 2020 Jan;76(2):182-188. doi: 10.1111/his.13975. Epub 2019 Nov 13.
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Neuroendocrine Tumor Therapy: Lu-DOTATATE.神经内分泌肿瘤治疗:镥[177Lu]-DOTATATE。
AJR Am J Roentgenol. 2018 Aug;211(2):278-285. doi: 10.2214/AJR.18.19953. Epub 2018 Jun 27.
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Neuroendocrine tumor of the common bile duct.胆总管神经内分泌肿瘤
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