摘要
目的介绍1例食管癌术后胰腺转移癌(pancreatic metastases,PM)患者的诊疗过程,并进行相关文献复习。方法患者男性,65岁,因食管癌术后1年余上腹疼痛1月入院,术前诊断胰腺占位性病变,考虑胰腺癌。全麻下开腹行胰体尾切除+脾切除+胰管空肠吻合术。结果患者手术顺利,术后病理诊断为胰体尾中分化鳞状细胞癌,考虑食管癌术后胰腺转移癌。术后随访16月余无明显不适,无复发。结论食管癌胰腺转移非常罕见,CT及MRI表现无特征性,临床较易误诊为胰腺癌,积极根治性手术切除可取得较好疗效。
Objective To introduce the diagnosis and treatment of pancreatic metastases(PM)after esophagectomy in one case,and to review associated literatures.Methods The 65-year-old male patient was admitted in our department due to upper abdominal pain 1 year after esophagectomy of esophageal cancer.Pancreatic cancer was considered as a preoperative diagnosis of pancreatic space-occupying lesions.The surgery of distal pancreatectomy,splenectomy and pancreaticojejunostomy was performed under general anesthesia.Results The surgery was completed successfully.The pathological result showed middle differentiation squamous cell carcinoma in the body-tail of the pancreas,and the clinical diagnosis was confirmed PM after esophagectomy.There was no serious discomfort or recurrence during the follow-up more than 16 months.Conclusions Pancreatic metastasis of esophageal cancer is very rare,and has no characteristic manifest in CT and MRI,so it is easy to be misdiagnosed as pancreatic cancer in clinical practice.Active radical resection can achieve better curative effect.
作者
陈平平
张震生
武金才
郑进方
唐荣
章家超
曾勇超
CHEN Ping-ping;ZHANG Zhen-sheng;WU Jin-cai;ZHENG Jin-fang;TANG Rong;ZHANG Jia-chao;ZENG Yong-chao(Department of Hepatobiliary Surgery, Hainan General Hospital, Hainan Hospital Affiliated to Hainan Medical College, Haikou 570311, Hainan, China)
出处
《中国现代手术学杂志》
2020年第4期251-254,共4页
Chinese Journal of Modern Operative Surgery
基金
海南省自然科学基金(项目编号:817317)
海南省重点研发计划项目(项目编号:ZDYF2019120)。
关键词
食管癌
胰腺转移
肿瘤转移
esophageal cancer
pancreatic metastases
tumor metastasis
