临床误诊误治2012，Vol.25Issue(8)：26-28,3.DOI:10.3969/j.issn.1002-3429.2012.08.009
胰腺混合性腺泡-神经内分泌癌并肝转移误诊分析
Misdiagnosis Analysis of Pancreatic Mixed Acinar-Neuroendocrine Carcinoma Combined with Liver Metastasis
黄忠连 1王年飞 1张明军 1谢胜学 1陈振东1
作者信息
- 1. 230601合肥,安徽医科大学第二附属医院肿瘤科
- 折叠
摘要
Abstract
Objective To explore the biological characteristics and clinical features of pancreatic mixed acinar-neuroendo-crine carcinoma. Methods The clinical data of a patient with pancreatic mixed acinar-neuroendocrine carcinoma combined with liver metastasis was retrospectively analyzed. Results The patient was admitted for upper abdominal discomfort for 10 months, pol-ydipsia, polyuria and weight loss for 2 months. The patient was diagnosed as having pancreatic cancer combined with liver metastasis, secondary diabetes, and severe anemia. The patient was given the appropriate treatment in other hospitals. The symptoms of polydipsia, polyuria and weight loss symptoms were alleviated but the upper abdominal symptom did not improve. The patient was admitted into our hospital for further diagnosis and treatment by laboratories, abdominal CT and MR1 examinations. The initial diagnosis was a preliminary placeholder in the pancreatic head and neck, liver multiple placeholder of unknown origin, cyst of pancreatic body and tail, splenomegaly, portal hypertension, secondary diabetes and severe anemia. The diagnosis after laparotomy was pancreatic mixed acinar-neuroendocrine carcinoma combined with liver metastasis. Conclusion Pancreatic mixed acinar-neuroendocrine carcinoma is a rare disease and with no specific clinical symptoms. Iconography examination can provide a basis for localization diagnosis and pathological examination is the main method to confirm diagnosis.关键词
胰腺肿瘤/神经内分泌瘤/误诊Key words
Pancreatic Neoplasm/ Neuroendocrine tumor/ Diagnostic error分类
医药卫生引用本文复制引用
黄忠连,王年飞,张明军,谢胜学,陈振东..胰腺混合性腺泡-神经内分泌癌并肝转移误诊分析[J].临床误诊误治,2012,25(8):26-28,3.
