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原发性肺腺癌十二指肠转移:一例罕见病例报告

Duodenal metastasis from primary lung adenocarcinoma: A rare case report.

作者信息

El Houssni Jihane, Mahdi Youssef, Aitari Khadija El, Jellal Sanae, El Bakkari Asaad, Omor Youssef, Latib Rachida, Amalik Sanae, Khannoussi Basma El

机构信息

Department of Radiology, National Institute of Oncology, University Mohammed V of Rabat, Rabat, Morocco.

Pathology Department, National Institute of Oncology, Faculty of Medicine and Pharmacy, Mohammed V University in Rabat, Rabat, Morocco.

出版信息

Radiol Case Rep. 2024 Sep 23;19(12):6135-6140. doi: 10.1016/j.radcr.2024.08.161. eCollection 2024 Dec.

Abstract

Duodenal metastases from pulmonary adenocarcinoma are rare. Early detection, diagnosis, and treatment are crucial for improving the prognosis of patients with duodenal metastases from primary lung cancer, which often go unnoticed due to their low incidence and diagnostic challenges. Here, we present the case of a 64-year-old man with an unusual occurrence of duodenal metastases from pulmonary adenocarcinoma, admitted with symptoms of cholangitis. Radiological findings revealed a mass in the D2-D3 segments of the duodenum. Endoscopic ultrasound with biopsy was performed, and immunohistochemical analysis confirmed that the mass was a duodenal metastasis of pulmonary adenocarcinoma.

摘要

肺腺癌的十二指肠转移很少见。早期发现、诊断和治疗对于改善原发性肺癌十二指肠转移患者的预后至关重要,由于其发病率低和诊断困难,这些转移往往未被注意到。在此,我们报告一例64岁男性,发生了不寻常的肺腺癌十二指肠转移,因胆管炎症状入院。影像学检查发现十二指肠D2-D3段有一个肿块。进行了超声内镜检查并活检,免疫组化分析证实该肿块为肺腺癌的十二指肠转移。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b0a/11456785/f77f8caed201/gr1.jpg

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