Ishii H, Okada S, Okazaki N, Nose H, Yoshimori M, Aoki K, Tsuda H, Hirohashi S
Department of Internal Medicine, National Cancer Center Hospital, Tokyo.
Jpn J Clin Oncol. 1994 Feb;24(1):42-5.
We present a case of pancreatic leiomyosarcoma with liver metastasis diagnosed by liver tumor biopsy. A 66-year-old man had a pancreatic tumor and hepatic tumors, which were hypoechoic and mixed echoic on ultrasonography, respectively. They were stained in enhanced computed tomography and angiography. A fine needle aspiration biopsy of the liver tumor was performed, and the pathological examination of the biopsied specimen suggested the tumor cells to have originated from smooth muscle. Under a diagnosis of pancreatic leiomyosarcoma with liver metastasis, the patient was treated with several anticancer agents. The tumor, however, spread to multiple organs and he dies of the disease two years nine months after the start of treatment. The diagnosis of pancreatic leiomyosarcoma was confirmed by autopsy.
我们报告一例经肝肿瘤活检确诊为胰腺平滑肌肉瘤伴肝转移的病例。一名66岁男性患有胰腺肿瘤和肝肿瘤，超声检查分别显示为低回声和混合回声。在增强计算机断层扫描和血管造影中它们均有染色。对肝肿瘤进行了细针穿刺活检，活检标本的病理检查提示肿瘤细胞起源于平滑肌。在诊断为胰腺平滑肌肉瘤伴肝转移后，该患者接受了多种抗癌药物治疗。然而，肿瘤扩散至多个器官，患者在治疗开始两年零九个月后死于该疾病。胰腺平滑肌肉瘤的诊断经尸检得以证实。
