Machado M A, Jukemura J, Carlucci Júnior D, Bacchella T, da Cunha J E, Rocha M S, Machado M C, Pinotti H W
Departamento de Gastroenterologia, Faculdade de Medicina, Universidade de São Paulo.
Rev Hosp Clin Fac Med Sao Paulo. 1994 Mar-Apr;49(2):76-8.
A small fraction of solid mass in the head of the pancreas are inflammatory rather neoplastic in origin. The failure to recognize the true nature of a solid tumor in the head of pancreas may lead to an incorrect treatment strategy. This is a report of a patient with clinical history of pancreatic cancer which computed tomography showed a mass in the head of the pancreas with radiologic characteristics of malignancy. The patient underwent exploratory laparotomy with the finding of a mass in the head of the pancreas. The inflammatory palpable characteristic of the mass led to a intraoperative biopsy to confirm the preoperative diagnosis. With the benign result of the biopsy, the final diagnosis was duodenal ulcer which penetrates in the pancreatic parenchyma.
胰腺头部的一小部分实性肿块起源于炎症而非肿瘤。未能识别胰腺头部实性肿瘤的真实性质可能导致不正确的治疗策略。本文报告一例有胰腺癌临床病史的患者，计算机断层扫描显示胰腺头部有一肿块，具有恶性的放射学特征。该患者接受了剖腹探查术，发现胰腺头部有一肿块。肿块的炎性可触及特征导致术中活检以证实术前诊断。活检结果为良性，最终诊断为十二指肠溃疡穿透胰腺实质。
