中国全科医学Issue(24)：2844-2846,2847,4.DOI:10.3969/j.issn.1007-9572.2014.24.015
伴有破骨细胞样巨细胞的胰腺未分化癌诊治分析：附一例报道及文献复习
Undifferentiated Carcinoma with Osteoclast -like Giant Cells of Pancreas:A Case Report and Literature Review
赵英杰 1薛绪潮 1方国恩1
作者信息
- 1. 200433上海市，第二军医大学附属长海医院普外一科
- 折叠
摘要
Abstract
Objective To explore the clinicopathologic features and methods of diagnosis and treatment of the undiffer-entiated carcinoma with osteoclast-like giant cells of pancreas(UCWOGCs). Methods A case of UCWOGCs admitted to and treated in Changhai Hospital Affiliated to Second Military Medical University in December 2011 was reported,and 12 cases in 11 literatures from 1990 to 2013 were also searched. The clinical and pathological features and following up data of the 13 cases were analyzed. Results The patient admitted to our hospital showed upper abdomen discomfort or pain,accompanied with nausea and poor appetite,but showed no jaundice,fever and diarrhea. Physical examination revealed an upper abdominal mass of 16 cm × 15 cm. CT showed space-occupying lesions in abdomen and liver. Distal pancreatectomy,total gastrectomy and splenectomy were performed and pancreas UCWOGCs was confirmed. Among the 13 patients,6 were males and 7 were females. 12 cases showed up-per abdominal discomfort or pain. Physical examination revealed an upper abdominal mass. Ultrasound B and CT examination showed that 11 cases had mass of pancreatic body and tail,and the tumor diameter was 4 cm to 23 cm. All the 13 cases were trea-ted by surgery. Conclusion UCWOGCs is a rare malignant tumor with non -specific symptoms and palpable mass in abdo-men. The origin of the tumor has been controversial. It should be differentiated from malignant fibrous histiocytoma of the pancreas and the giant cell tumor of bone. Surgical resection is the main treatment.关键词
胰腺肿瘤/胰腺未分化癌/破骨细胞样巨细胞/病例报告Key words
Pancreatic neoplasms/Undifferentiated carcinoma/Osteoclasts like giant cells/Case reports分类
医药卫生引用本文复制引用
赵英杰,薛绪潮,方国恩..伴有破骨细胞样巨细胞的胰腺未分化癌诊治分析：附一例报道及文献复习[J].中国全科医学,2014,(24):2844-2846,2847,4.
