远端胰腺切除术后快速生长梭形细胞型胰腺间变性癌1例报告。

Q4 Medicine
Hisafumi Akimoto, Suefumi Aosasa, Tatsuro Ishikawa, Makoto Uchiyama, Yasushi Takafuji, Takuya Kato, Takahiro Shimauchi, Kazutsugu Iwamoto, Hiroshi Yamaguchi, Kenji Warigaya, Satoshi Ono
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引用次数: 0

摘要

一名42岁男性因上腹部和背部疼痛转介至我院。诊断为急性胰腺炎后,腹部CT显示胰腺体内直径15mm的低密度肿瘤。内镜逆行胰脏造影显示主胰管狭窄,胰液细胞学显示Ⅲ型。考虑到对胰腺癌的强烈怀疑,我们进行了远端胰腺切除术。病理检查证实为胰腺梭形细胞型间变性癌,分为pT2、pN0、M0和pStageⅠB。术后第72天局部复发及肝转移。肿瘤进展迅速,导致患者在术后第115天死亡。胰腺间变性癌预后不良,迫切需要建立多学科治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Anaplastic Carcinoma of the Pancreas of the Spindle Cell Type with Rapid Growth after Distal Pancreatectomy-A Case Report].

A 42-year-old male was referred to our hospital for epigastric and back pain. Following a diagnosis of acute pancreatitis, abdominal CT revealed a low-density tumor measuring 15 mm in diameter in the pancreatic body. Endoscopic retrograde pancreatography showed narrowing of the main pancreatic duct, and cytology of pancreatic juice indicated class Ⅲ. Given the strong suspicion of pancreatic cancer, a distal pancreatectomy was performed. Pathological examination confirmed spindle cell-type anaplastic carcinoma of the pancreas, categorized as pT2, pN0, M0, and pStage ⅠB. Local recurrence and liver metastasis were observed on postoperative day 72. The tumor progressed rapidly, leading to the patient's death on postoperative day 115. Anaplastic carcinoma of the pancreas has a poor prognosis, emphasizing the urgent need for establishing multidisciplinary treatment.

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