Hirano T, Yoshioka H, Manabe T
Department of Surgery, Yoshioka Hospital, Kyoto, Japan.
Nihon Geka Hokan. 1993 Jul 1;62(4):203-8.
A case of 79-year-old man with pancreatic cancer associated with the sign of Leser-Trélat was presented. Abdominal CT scanning was performed and a pancreatic tail tumor involving the spleen and the greater omentum as well as ascitic retention were detected. Ba-enema study showed the stenosis of the sigmoid colon, suggesting the peritoneal disseminations. Absolute non-curative operation of side-to-side transverso-sigmoidostomy was performed for colonic stenosis, and biopsy of the disseminated omental tumor was performed, which was histologically diagnosed as well differentiated papillary adenocarcinoma compatible with pancreatic cancer. The postoperative course was uneventful and at present the patient was followed at outpatient clinic. To our knowledge, this case is the first report with pancreatic cancer associated with the sign of Leser-Trélat in Japan.
报告了一例79岁男性胰腺癌伴Leser-Trélat征的病例。进行了腹部CT扫描，发现胰尾肿瘤累及脾脏和大网膜，并伴有腹水潴留。钡灌肠检查显示乙状结肠狭窄，提示腹膜播散。对结肠狭窄进行了绝对非根治性的侧侧横结肠-乙状结肠造口术，并对播散的网膜肿瘤进行了活检，组织学诊断为与胰腺癌相符的高分化乳头状腺癌。术后过程顺利，目前患者在门诊随访。据我们所知，该病例是日本首例胰腺癌伴Leser-Trélat征的报告。
