非肾性胰腺转移的胰腺切除术-单一手术中心的经验。

IF 0.8 Q4 SURGERY
Chirurgia Pub Date : 2025-04-01 DOI:10.21614/chirurgia.3119
Emil Matei, Silviu Ciurea, Vlad Herlea, Bogdan Mihail Dorobantu, Catalin Vasilescu
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引用次数: 0

摘要

简介:胰腺转移是一种罕见的肿瘤,约占胰腺恶性肿瘤的2-5%。最常见的来源是肾细胞癌,而其他(非肾)来源的转移则非常罕见。患者和方法:本中心对15例非肾性胰腺转移患者进行了手术切除。术后免疫组化检查显示其原发于非胰腺。对患者进行放射学评估并诊断为孤立性转移性或少转移性疾病,允许胰腺切除术。结果:15例不同类型肿瘤(3例结直肠癌、3例胆管癌、2例子宫癌、2例腹膜后癌、2例黑色素瘤、2例卵巢癌、1例嗜铬细胞瘤)均纳入本研究。5例为同步转移,10例为异时转移。他们的位置在头侧à ?”9例患者和远端â?6. 标准胰腺切除术(9例胰十二指肠切除术和4例远端脾胰腺切除术)和有限胰腺切除术(2例中央胰腺切除术)。12例患者术后存活;死亡3例。9例患者发生肿瘤复发à 1,其中2例可以切除。目前,只有3名患者存活,没有复发。结论:在多学科肿瘤学方法的背景下,非肾性胰腺转移的胰腺切除术在某些选定的病例中是指的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pancreatic Resection for Non-Renal Pancreatic Metastases - Experience of a Single Surgical Center.

Introduction: Pancreatic metastases are rare tumors representing about 2-5% of pancreatic malignant conditions. The most common origin is renal cell carcinoma, while metastases with other (non-renal) origins are much rarer. Patients and Method: Fifteen patients with non-renal pancreatic metastases were resected in our center. The postoperative immunohistochemical examination demonstrated their primary non-pancreatic origin. The patients were radiologically assessed and diagnosed with isolated metastatic or oligometastatic disease, which allowed pancreatic resection. Results: Fifteen patients with various types of cancer (3 - colorectal, 3 - bile duct, 2 - uterine, 2 - retroperitoneal, 2 - melanomas, 2 - ovarian, 1 - pheochromocytoma) were included. Five metastases were synchronous and 10 were metachronous. Their location was cephalic â?" 9 patients and distal â?" 6. Standard pancreatic resections (9 pancreaticoduodenectomies and 4 distal splenopancreatectomies) were performed, as well as limited (2 central pancreatectomies). Twelve patients survived postoperatively; death occurred in 3 patients. Neoplastic recurrence occurred in 9 patients â?" resection was possible in two of them. Currently, only three patients are alive, without relapse. Conclusions: Pancreatic resection for non-renal pancreatic metastases is indicated in certain selected cases, in the context of the multidisciplinary oncological approach.

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来源期刊
Chirurgia
Chirurgia Medicine-Surgery
CiteScore
1.00
自引率
0.00%
发文量
75
审稿时长
4-8 weeks
期刊介绍: Chirurgia is a bimonthly journal. In Chirurgia, original papers in the area of general surgery which neither appeared, nor were sent for publication in other periodicals, can be published. You can send original articles, new surgical techniques, or comprehensive general reports on surgical topics, clinical case presentations and, depending on publication space, - reviews of some articles of general interest to surgeons from other publications. Chirurgia is also a place for sharing information about the activity of various branches of the Romanian Society of Surgery, information on Congresses and Symposiums organized by the Romanian Society of Surgery and participation notes in other scientific meetings. Letters to the editor: Letters commenting on papers published in Chirurgia are welcomed. They should contain substantive ideas and commentaries supported by appropriate data, and should not exceed 2 pages. Please submit these letters to the editor through our online system.
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