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十二指肠癌肉瘤:导致胃出口梗阻的苹果核样病变。

Duodenal Carcinosarcoma: An Apple-Core Lesion Causing Gastric Outlet Obstruction.

作者信息

Zaher Eli A, Ebrahim Mohamed A, Gerais Yasmin, Patel Parth, Al Salman Omar

机构信息

Internal Medicine, Ascension Saint Joseph - Chicago, Chicago, USA.

Gastroenterology, Ascension Saint Joseph - Joliet, Joliet, USA.

出版信息

Cureus. 2024 Apr 22;16(4):e58725. doi: 10.7759/cureus.58725. eCollection 2024 Apr.

Abstract

We present a case of a 58-year-old male with a rare duodenal carcinosarcoma causing gastric outlet obstruction. Despite its aggressive nature and poor prognosis, with only 12 documented cases in the literature, this report sheds light on the clinical presentation and challenges in diagnosis and treatment. Carcinosarcoma, characterized by both carcinomatous and sarcomatous elements, poses difficulties in management due to its diverse tissue characteristics. Surgical resection remains the primary treatment, although the prognosis remains grim, emphasizing the need for further research into advanced therapeutic strategies to improve patient outcomes. This case underscores the rarity and clinical complexities associated with duodenal carcinosarcomas.

摘要

我们报告一例58岁男性十二指肠癌肉瘤病例,该肿瘤导致胃出口梗阻。尽管其具有侵袭性且预后不良,文献中仅有12例记录,但本报告揭示了其临床表现以及诊断和治疗中的挑战。癌肉瘤兼具癌性和肉瘤性成分,因其组织特征多样,在治疗上存在困难。手术切除仍是主要治疗方法,尽管预后依然严峻,这凸显了进一步研究先进治疗策略以改善患者预后的必要性。该病例强调了十二指肠癌肉瘤的罕见性和临床复杂性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85fa/11110488/c8ee9451f966/cureus-0016-00000058725-i01.jpg

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