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降低微血管密度的低血管胰岛素瘤在他的病理学上:一个病例报告

Risako Imai¹, Mayu Sakai^1,2, Takehiro Kato¹

¹Department of Diabetes, Endocrinology and Metabolism and Department of Rheumatology and Clinical Immunology, Gifu University Graduate School of Medicine, 1-1 Yanagido, Gifu, 501-1194 Japan.

Diabetology international

|October 29, 2024

概括

诊断低血管胰腺神经内分泌瘤 (PanNETs) 是一个挑战. 低微血管密度 (MVD) 可能导致无法断定成像,需要全面评估以进行准确的诊断和治疗.

科学领域:

在瘤学瘤学.
内分泌学在内分泌学.
放射学放射学是一门学科.

背景情况:

胰腺神经内分泌瘤 (PanNETs) 通常是高血管性,有助于检测.
低血管泛网带来了诊断上的挑战,通常需要进行广泛的调查来区分胰腺管道癌.

研究的目的:

报告一个具有挑战性的低血管PanNET.NET病例.
为了强调在PanNET中微血管密度 (MVD) 较低所带来的诊断困难.
强调术前MVD评估和术后病理分析的重要性.

主要方法:

一个41岁的男性患有惠普尔三位一体的案例介绍.
使用了禁食测试,葡萄糖激素挑战测试,增强对比度的计算机断层扫描,腹部磁共振成像和内镜超声波 (EUS).
执行了EUS指导的细针吸入细胞学和术后病理检查,包括MVD评估.

主要成果:

图像检查显示,瘤增长不良,最初没有确定性.
氧化物治疗可以控制低血糖症,这表明胰岛素瘤.
病理学检查证实PanNET 1级与低MVD (3.9%),解释了低血管性和诊断模两可.

结论:

低MVD的低血管PanNETs可以在成像上模仿其他胰腺恶性瘤.
通过先进的成像和最终的术后病理分析进行MVD的术前评估对于准确的诊断和管理至关重要.

关键词:

血管新生的产生.低血糖症是一种低血糖症.这是一种胰岛素瘤.微血管密度微血管密度

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