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胰腺癌孤立转移至结肠是一种罕见情况。

Pancreatic Cancer Solitary Metastasis to Colon is a Rare Entity.

作者信息

Rodriguez Alejandro A, Vedantam Shyam, Acosta Camilo J, Bhalla Sean, Barkin Jodie A

机构信息

Department of Medicine, University of Miami/Jackson Memorial Hospital, Miami, FL.

Division of Digestive Health and Liver Diseases, Leonard M. Miller School of Medicine, University of Miami, Miami, FL.

出版信息

ACG Case Rep J. 2025 Apr 25;12(5):e01674. doi: 10.14309/crj.0000000000001674. eCollection 2025 May.

Abstract

Metastases in pancreatic ductal adenocarcinoma are present in over 50% of cases at the time of diagnosis, with the liver, peritoneum, and lung being some of the most common sites. By contrast, solitary distant metastasis to the colon is a rare entity but clinically significant. We report 2 cases of synchronous pancreatic ductal adenocarcinoma distant metastasis to colon along with a literature review. Our cases demonstrate the utility of colonoscopy to diagnose metastatic disease. Last, as highlighted, palliative stenting can be used in cases of complete obstruction. : pancreatic cancer; metastasis; obstruction; malignant large bowel obstruction; colonoscopy.

摘要

胰腺导管腺癌在诊断时超过50%的病例存在转移,肝脏、腹膜和肺是一些最常见的转移部位。相比之下,孤立性远处转移至结肠是一种罕见但具有临床意义的情况。我们报告2例同步发生的胰腺导管腺癌远处转移至结肠的病例,并进行文献复习。我们的病例证明了结肠镜检查在诊断转移性疾病中的作用。最后,如所强调的,在完全梗阻的病例中可使用姑息性支架置入术。:胰腺癌;转移;梗阻;恶性大肠梗阻;结肠镜检查

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9da3/12026406/164dd410bdf8/ac9-12-e01674-g001.jpg

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