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1型神经纤维瘤病患者的壶腹周围十二指肠神经内分泌肿瘤:病例报告

Periampullary duodenal neuroendocrine tumor in a patient with neurofibromatosis-1: A case report.

作者信息

Zhang Xiao-Yu, Yu Jian-Fa, Li Yang, Li Ping

机构信息

The First Central Hospital Clinical School, Tianjin Medical University, Tianjin 300192, China.

Department of Hepatobiliary Surgery, Tianjin First Central Hospital, School of Medicine, Nankai University, Tianjin 300192, China.

出版信息

World J Clin Oncol. 2024 Sep 24;15(9):1222-1231. doi: 10.5306/wjco.v15.i9.1222.

Abstract

BACKGROUND

Patients with neurofibromatosis type 1 (NF1) are exposed to a higher risk of developing neuroendocrine tumors (NETs). Periampullary neuroendocrine neoplasms (NENs) in NF1 patients primarily affect the duodenum and periampullary region.

CASE SUMMARY

A 50-year-old male patient was admitted to our hospital due to progressive skin and scleral yellowing for over 6 months. An abdominal contrast-enhanced computed tomography scan revealed a tumor in the periampullary region, which measured 1.2 cm × 1.4 cm in size and showed a progressive enhancement. Magnetic resonance cholangiopancreatography indicated the dilation of intrahepatic and extrahepatic bile ducts. The patient was diagnosed with an ampullary tumor with the possibility of malignancy. A Whipple procedure was performed. Microscopically, the duodenum tumor was found to invade the mucosa, sphincter, and muscular layer of the duodenal papilla. Histologic hematoxylin and eosin staining confirmed the presence of duodenal G1 NET. Subsequently, a bibliometric analysis was performed to evaluate the state of NEN research. Publications about periampullary NENs showed an annual increase, with most of them focusing on the treatment and diagnosis of NENs.

CONCLUSION

This article reported a case of periampullary duodenal NET in a patient with NF1, and a bibliometric analysis was conducted.

摘要

背景

1型神经纤维瘤病(NF1)患者发生神经内分泌肿瘤(NETs)的风险较高。NF1患者的壶腹周围神经内分泌肿瘤(NENs)主要累及十二指肠和壶腹周围区域。

病例摘要

一名50岁男性患者因进行性皮肤和巩膜黄染6个多月入院。腹部增强计算机断层扫描显示壶腹周围区域有一个肿瘤,大小为1.2 cm×1.4 cm,呈渐进性强化。磁共振胰胆管造影显示肝内和肝外胆管扩张。该患者被诊断为壶腹肿瘤,有恶性可能。实施了胰十二指肠切除术。显微镜下,发现十二指肠肿瘤侵犯十二指肠乳头的黏膜、括约肌和肌层。组织学苏木精和伊红染色证实存在十二指肠G1级NET。随后,进行了文献计量分析以评估NEN研究状况。关于壶腹周围NENs的出版物呈逐年增加趋势,其中大多数集中在NENs的治疗和诊断方面。

结论

本文报告了1例NF1患者的壶腹周围十二指肠NET病例,并进行了文献计量分析。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b3a/11438844/c15a9de07d33/WJCO-15-1222-g001.jpg

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