一例罕见的伴有静脉血栓形成、胸腔和心包积液的胰腺腺癌。
A rare case of pancreatic adenocarcinoma accompanied by venous thrombosis, pleural and pericardial effusions.
作者信息
Shawakh Husam, Bdeiwi Hassan, Aljundi Rashed, Kashkash Fateh, Khoury Abdullah
机构信息
University of Aleppo, Faculty of Medicine.
Department of Pulmonology, Aleppo University Hospital, University of Aleppo, Faculty of Medicine, Aleppo, Syria.
出版信息
Ann Med Surg (Lond). 2024 Feb 28;86(4):2277-2280. doi: 10.1097/MS9.0000000000001870. eCollection 2024 Apr.
INTRODUCTION
Pancreatic cancer is a deadly type of cancer with few symptoms until metastasis. It poses a high risk of cancer-associated thrombosis.
CASE PRESENTATION
A 73-year-old male presented with fatigue, shortness of breath, weight loss since 9 months, and blood clots recently in his legs. Chest radiography revealed fluid accumulation in pleural and pericardial cavities. Later, a fluid examination revealed the presence of malignant cells in the pericardial fluid. After immunological tests and an upper gastrointestinal endoscopy were performed, a pancreatic tumour was suspected. The patient was administered anticoagulant treatment and palliative care, which resulted in improvement after one month.
DISCUSSION
Pancreatic adenocarcinoma is a highly aggressive cancer with a strong tendency to metastasize, leading to pericardial and pleural effusion, thrombophlebitis, and poor prognosis.
CONCLUSION
This case indicates that venous thrombosis, pleural and pericardial effusions could be symptoms related to a pancreatic tumour.
引言
胰腺癌是一种致命的癌症，在发生转移之前症状很少。它具有较高的癌症相关血栓形成风险。
病例介绍
一名73岁男性，自9个月以来出现疲劳、呼吸急促、体重减轻，近期腿部出现血栓。胸部X线检查显示胸腔和心包腔有积液。后来，液体检查显示心包液中存在恶性细胞。在进行免疫检查和上消化道内镜检查后，怀疑患有胰腺肿瘤。该患者接受了抗凝治疗和姑息治疗，一个月后病情有所改善。
讨论
胰腺腺癌是一种侵袭性很强的癌症，具有很强的转移倾向，可导致心包和胸腔积液、血栓性静脉炎，预后较差。
结论
该病例表明静脉血栓形成、胸腔和心包积液可能是与胰腺肿瘤相关的症状。
Zotero 插件