来自骨肉瘤的十二指肠转移的非典型表现:一个病例报告
Maria M Pitsilka1, Nikolaos Kourtides2, Vasileios Zengos2
1Department of General Surgery, University Hospital of Larissa, Larissa, GRC.
Cureus
|October 13, 2025
概括
一位患有骨髓瘤病史的患者表现出十二指肠厚和疼痛. 像PET/CT这样的先进成像对诊断至关重要,导致了Whipple手术.
科学领域:
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
- 放射学 放射学是一门学科.
背景情况:
- 一名35岁的男性有经过骨髓瘤手术的病史,出现了严重的腹上疼痛和体重减轻.
- 最初的计算机断层扫描 (CT) 和胃镜检查显示了十二指肠变厚,有骨状病变和胆管/胰腺管扩张,但没有明确的发现.
研究的目的:
- 报告一例罕见的怀疑十二指肠恶性瘤的病例,该病例发生在患有骨髓瘤史的患者身上.
- 强调诊断的挑战和在这种情况下先进的成像的实用性.
主要方法:
- 使用CT,胃镜和正子发射断层扫描/CT (PET/CT) 进行诊断评估.
- 患者接受了Whipple手术以获得最终的管理.
主要成果:
- 扫描图显示了十二指甲腺厚,有放射性损伤和胰腺胆道扩张.
- PET/CT在十二指甲状腺壁的加厚中显示出显著的超代谢活性,这表明恶性瘤.
- 胃镜检查尽管患者有症状,但却取得了平的结果.
结论:
- 在有恶性瘤病史且出现胃肠道症状的患者中,高度的临床怀疑是必不可少的.
- 像PET/CT这样的先进诊断模式对于准确的诊断至关重要,因为传统方法无法得出结论.
- 这一案例强调了癌症幸存者怀疑十二指肠病理的全面诊断工作的重要性.
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