神经内分泌癌致胆总管梗阻1例。

IF 0.5 Q3 MEDICINE, GENERAL & INTERNAL
Oxford Medical Case Reports Pub Date : 2025-03-28 eCollection Date: 2025-04-01 DOI:10.1093/omcr/omaf011
Richard Shamoon, Osman Elhassan, Lujain Al-Emadi, Abdulwahab Zabara, Mahir A Petkar, Sarah Sayed, Osama H Mohammad
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引用次数: 0

摘要

一位46岁男性,无合并症,因黄疸和LFT标记物升高而转诊至我院。进一步检查后,患者行了磁共振胆管造影(MRCP),发现壶腹周围有一个15毫米大小的低增强肿块,导致胆总管(CBD)交叉直径扩张12毫米,并伴有肝内胆道阻塞,这解释了患者的症状。侧视内窥镜检查获得肿块标本。进一步的组织病理学检查显示低分化神经内分泌癌(NEC)。多学科小组(MDT)进行了检查,并计划对患者进行正电子发射断层扫描-计算机断层扫描(PET-CT)以调查是否有进一步的器官转移。不幸的是,病人错过了即将到来的预约,失去了随访。然而,需要更多的研究来了解小壶腹周围NETs的发病机制和最佳治疗方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Neuroendocrine carcinoma causing common bile duct obstruction: a case report.

A 46-year-old male with no comorbidities was referred to our hospital because of jaundice and elevated LFT markers. After further investigations, he underwent magnetic resonance cholangiopancreatography (MRCP), which revealed a hypo-enhancing periampullary mass measuring 15 mm in size causing common bile duct (CBD) dilatation of 12 mm in cross diameter with intrahepatic biliary obstruction, which explained the patient's symptoms. Side-view endoscopy was performed to obtain a specimen of the mass. Further histopathological workup revealed poorly differentiated neuroendocrine carcinoma (NEC). A multidisciplinary team (MDT) was conducted, and the patient was planned to undergo positron emission tomography-computed tomography (PET-CT) scan to investigate any further organ metastasis. Unfortunately, the patient missed his upcoming appointments and was lost to follow-up. Nevertheless, more research is needed to understand pathogenesis and the best course of management for small periampullary NETs.

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来源期刊
Oxford Medical Case Reports
Oxford Medical Case Reports MEDICINE, GENERAL & INTERNAL-
CiteScore
0.90
自引率
0.00%
发文量
125
审稿时长
19 weeks
期刊介绍: Oxford Medical Case Reports (OMCR) is an open access, peer-reviewed online journal publishing original and educationally valuable case reports that expand the field of medicine. The journal covers all medical specialities including cardiology, rheumatology, nephrology, oncology, neurology, and reproduction, comprising a comprehensive resource for physicians in all fields and at all stages of training. Oxford Medical Case Reports deposits all articles in PubMed Central (PMC). Physicians and researchers can find your work through PubMed , helping you reach the widest possible audience. The journal is also indexed in the Web of Science Core Collection . Oxford Medical Case Reports publishes case reports under the following categories: Allergy Audiovestibular medicine Cardiology and cardiovascular systems Critical care medicine Dermatology Emergency medicine Endocrinology and metabolism Gastroenterology and hepatology Geriatrics and gerontology Haematology Immunology Infectious diseases and tropical medicine Medical disorders in pregnancy Medical ophthalmology Nephrology Neurology Oncology Paediatrics Pain Palliative medicine Pharmacology and pharmacy Psychiatry Radiology, nuclear medicine, and medical imaging Respiratory disorders Rheumatology Sexual and reproductive health Sports Medicine Substance abuse.
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