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一名72岁男性的低度十二指肠神经内分泌肿瘤:病例报告。

Low-grade duodenal neuroendocrine tumor in a 72-year-old man: A case report.

作者信息

Al-Jawad Mohammad, Hashemagha Dania, Salem Abdalrahman, Seijari Nour, Hussein Shereen, Niazi Ammar

机构信息

University of Aleppo, Faculty of Medicine, Aleppo, Syria.

University of Aleppo, Faculty of Medicine, Aleppo, Syria.

出版信息

Int J Surg Case Rep. 2025 May;130:111232. doi: 10.1016/j.ijscr.2025.111232. Epub 2025 Mar 30.

Abstract

INTRODUCTION

The neuroendocrine system includes various endocrine glands, with neuroendocrine neoplasms (NENs) primarily found in the lungs and gastrointestinal tract. This report presents a rare case of a duodenal NEN in a 72-year-old male, highlighting diagnostic and management challenges.

CASE PRESENTATION

A 72-year-old male presented with melena and hypotension, revealing anemia and thrombocytopenia. Imaging and biopsy confirmed a low-grade neuroendocrine tumor, leading to surgical resection and a diagnosis of a well-differentiated tumor measuring 1.7 cm.

DISCUSSION

This case underscores the complexities of diagnosing duodenal neuroendocrine tumors, with surgical resection necessary due to the tumor's invasive nature. Timely intervention and interdisciplinary collaboration are vital for effective management and monitoring.

CONCLUSION

This report highlights successful management of a duodenal neuroendocrine tumor in a 72-year-old male, emphasizing timely surgical intervention. Continued follow-up is essential for monitoring recurrence and ensuring optimal patient care.

摘要

引言

神经内分泌系统包括各种内分泌腺,神经内分泌肿瘤(NENs)主要见于肺部和胃肠道。本报告介绍了一例72岁男性十二指肠NEN的罕见病例,突出了诊断和管理方面的挑战。

病例介绍

一名72岁男性因黑便和低血压就诊,检查发现贫血和血小板减少。影像学检查和活检证实为低度神经内分泌肿瘤,随后进行了手术切除,诊断为分化良好的肿瘤,大小为1.7厘米。

讨论

该病例凸显了十二指肠神经内分泌肿瘤诊断的复杂性,鉴于肿瘤具有侵袭性,手术切除是必要的。及时干预和多学科协作对于有效管理和监测至关重要。

结论

本报告强调了对一名72岁男性十二指肠神经内分泌肿瘤的成功管理,强调了及时的手术干预。持续随访对于监测复发和确保最佳患者护理至关重要。

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