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带有 Pseudomyxoma peritonei 的内导管内皮质粘膜瘤:一个病例报告

Karim J Koussa^1,2, Georges E Nassif¹, Kendyll J Gartrelle¹

¹Henry Ford Pancreatic Cancer Center, Detroit, Michigan, USA.

International journal of surgery case reports

|March 16, 2026

概括

从胰腺内导管内皮质粘膜瘤 (IPMNs) 引起的 Pseudomyxoma peritonei (PMP) 是罕见的. 这一案例表明,PMP可以在手术后发生,以细胞还原性手术 (CRS) 和高热性腹膜内化疗 (HIPEC) 为可行的治疗方法.

科学领域:

胃肠病学胃肠病学
手术瘤学手术瘤学

背景情况:

在胰腺内导管内 papillary 粘膜瘤 (IPMNs) 发生后出现的 Pseudomyxoma peritonei (PMP) 异常罕见.
从IPMN诊断和管理PMP存在重大挑战.

研究的目的:

为了呈现一种独特的PPM二次性病例,恶性IPMN.
要突出术后监测和细胞还原性手术 (CRS) 与高热性腹腔内化疗 (HIPEC) 在治疗这种罕见疾病中的作用.

主要方法:

一名67岁的患有恶性IPMN的男性接受了新辅助疗法和全胰腺切除术.
监测成像显示肝病变,通过活检确认为PMP.
该患者接受了CRS和HIPEC.

主要成果:

在胰腺切除术后12个月被诊断出PMP.
对PMP进行了CRS和HIPEC.
这种方法为IPMN的二次性PMP提供了潜在的治疗选择.

结论:

对IPMN的二次性PMP,虽然不常见,但在初始手术后的几个月或几年内可以表现出来.
对于那些可能接受完整细胞减小的患者来说,CRS和HIPEC是可行的治疗策略.

关键词:

案例报告案例报告细胞减少手术手术手术手术.超热内皮层内化学疗法超热内皮层内化学疗法胰腺内导管性瘤是什么伪性瘤 (pseudomyxoma peritonei) 是一种发生在人体内的疾病.

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