Ai Haidong, Gong Ting, Ma Yongbiao, Ma Guixu, Zhao Jingjing, Zhao Xuelin
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.
Am J Transl Res. 2024 Feb 15;16(2):531-538. doi: 10.62347/HFBY5551. eCollection 2024.
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.
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。