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胰腺囊性导管腺癌合并神经内分泌肿瘤:1例报告并文献复习

Cystic ductal adenocarcinoma of pancreas complicated with neuroendocrine tumor: A case report and review of literature.

作者信息

Zou Dong-Mei, Shu Zeng-Yi, Cao Xu

机构信息

Department of Ultrasound, The People's Hospital of Shifang, Deyang 618400, Sichuan Province, China.

Department of Pathology, The People's Hospital of Shifang, Deyang 618400, Sichuan Province, China.

出版信息

World J Radiol. 2024 Oct 28;16(10):621-628. doi: 10.4329/wjr.v16.i10.621.

Abstract

BACKGROUND

Difficulties in making an accurate preoperative diagnosis of cystic pancreatic lesions pose a challenge for radiologists. It would be helpful to report rare cases and review the literature.

CASE SUMMARY

In the present report, a case of a patient with a pancreatic cystic lesion initially misdiagnosed as a pseudocyst by radiologist was documented, which was later pathologically confirmed as pancreatic ductal adenocarcinoma with neuroendocrine tumor. However, subsequent literature review yielded no previous reports of pancreatic ductal adenocarcinoma with neuroendocrine tumors and cystic lesions. Therefore, literature on the imaging diagnosis of pancreatic cystic lesions was instead reviewed and discussed.

CONCLUSION

Careful evaluation of the characteristics revealed by multimodal imaging techniques, medical history, laboratory examination data and follow-up observations, is critical to the diagnosis and treatment of pancreatic cystic disease. We provide valuable insights into the diagnosis of pancreatic cystic disease through a rare case report and literature review.

摘要

背景

术前准确诊断胰腺囊性病变存在困难,这给放射科医生带来了挑战。报告罕见病例并回顾文献会有所帮助。

病例摘要

在本报告中,记录了一例胰腺囊性病变患者,放射科医生最初将其误诊为假性囊肿,后来经病理证实为伴有神经内分泌肿瘤的胰腺导管腺癌。然而,随后的文献回顾未发现此前有关于伴有神经内分泌肿瘤和囊性病变的胰腺导管腺癌的报道。因此,转而对胰腺囊性病变的影像学诊断文献进行了回顾和讨论。

结论

仔细评估多模态成像技术所揭示的特征、病史、实验室检查数据以及随访观察结果,对于胰腺囊性疾病的诊断和治疗至关重要。我们通过一份罕见病例报告和文献回顾,为胰腺囊性疾病的诊断提供了有价值的见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e433/11525831/362cd92be666/WJR-16-621-g001.jpg

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