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表现为胃部病变的胰腺腺鳞癌

Pancreatic Adenosquamous Carcinoma Presenting as a Gastric Lesion.

作者信息

Kim Dain Raina, Ogilvie Travis, Woo Matthew

机构信息

College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.

Alberta Laboratory Services, Department of Pathology and Laboratory Medicine, University of Calgary, Calgary, Alberta, Canada.

出版信息

ACG Case Rep J. 2024 Mar 22;11(3):e01319. doi: 10.14309/crj.0000000000001319. eCollection 2024 Mar.

Abstract

Pancreatic adenosquamous carcinoma, an uncommon subtype of pancreatic adenocarcinoma, is characterized by an aggressive course and poor prognosis, with the only method of cure being surgical resection at the time of diagnosis. It is a complex condition, as it presents nonspecifically and remains indistinguishable from pancreatic adenocarcinoma without imaging techniques despite its aggressive nature. We report an atypical case of pancreatic adenosquamous carcinoma, presenting with marked anemia, found on endoscopy to have a gastric mass. This is of interest to readers as a reminder that pancreatic cancers may present with gastric invasion and should remain on the differential diagnosis for gastric lesions.

摘要

胰腺腺鳞癌是胰腺腺癌的一种罕见亚型,其特点是病程进展迅速且预后较差,确诊时唯一的治愈方法是手术切除。它是一种复杂的病症,因为其表现不具特异性,尽管具有侵袭性,但在没有影像学检查的情况下,很难与胰腺腺癌区分开来。我们报告了一例非典型胰腺腺鳞癌病例,该病例表现为严重贫血,在内镜检查时发现胃部有肿物。这一病例值得读者关注,它提醒我们胰腺癌可能会侵犯胃部,在诊断胃部病变时应将其纳入鉴别诊断范围。

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