胃鳞癌合并胰腺癌1例报告并文献复习。

IF 0.5 Q4 GASTROENTEROLOGY & HEPATOLOGY
Case Reports in Gastroenterology Pub Date : 2025-07-09 eCollection Date: 2025-01-01 DOI:10.1159/000546802
Shiwei Yao, Xueyong Deng
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引用次数: 0

摘要

导读:晚期胰腺腺癌浸润胃壁是常见的,肿瘤细胞浸润胃壁通常与胰腺腺癌相一致。然而,浸润胃壁的肿瘤细胞为鳞状细胞癌是非常罕见的。病例介绍:在这个病例中,我们报告了一位57岁的男性,体重下降了2个月。CT显示胰腺肿块。胰腺肿块的内镜超声活检证实为胰腺腺癌。他拒绝接受治疗。八个月后,他患上了黑肠病。CT显示胰腺肿块侵入胃壁。胃镜下行胃组织活检证实为胃鳞癌。结论:通过观察本病例的演变过程,我们发现本病例胃鳞状细胞癌的发生符合其发病机制之一:腺癌向鳞状细胞癌分化的理论。为研究胃鳞状细胞癌的发生机制提供了一定的临床意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Case Report of Gastric Squamous Cell Carcinoma Associated with Pancreatic Adenocarcinoma and Literature Review.

Introduction: It is common for advanced pancreatic adenocarcinoma to infiltrate the gastric wall, and the tumor cells invading the gastric wall are usually consistent with pancreatic adenocarcinoma. However, it is very rare for the tumor cells infiltrating the gastric wall to be squamous cell carcinoma.

Case presentation: In this case, we report a 57-year-old man who presented with weight loss for 2 months. CT revealed a pancreatic mass. Endoscopic ultrasound biopsy of the pancreatic mass confirmed pancreatic adenocarcinoma. He refused treatment. Eight months later, he developed melena. CT revealed that the pancreatic mass had invaded the gastric wall. Gastric squamous cell carcinoma was confirmed by biopsy of gastric tissue under gastroscopy.

Conclusion: By observing the evolution process of this case, we found that the occurrence of gastric squamous cell carcinoma in this case was consistent with one of its pathogenesis: the theory of adenocarcinoma differentiating into squamous cell carcinoma. It provides certain clinical significance for the study of the mechanism of gastric squamous cell carcinoma.

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来源期刊
Case Reports in Gastroenterology
Case Reports in Gastroenterology Medicine-Gastroenterology
CiteScore
1.10
自引率
0.00%
发文量
99
审稿时长
7 weeks
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