一个年轻女性的周围腺瘤导致双关节内:一个病例报告
Abu Bakar Bhatti1, Usman Shafique Khokhar2, Hajira Ghairat3
1Shifa College of Medicine, Islamabad, Pubjab Pakistan.
Journal of cancer & allied specialties
|March 17, 2026
概括
成年人的双内内 (DJI),通常是由瘤引起的,诊断可能具有挑战性. 手术切除,就像瘤周围腺瘤的胰腺除术一样,为这种罕见的疾病提供了明确的治疗方法.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
背景情况:
- 双内内 (DJI) 在成年人中很少见,通常与潜在的结构异常有关.
- 非特定的症状和罕见性可能会延迟诊断,并使DJI的管理复杂化.
研究的目的:
- 为了呈现一个成年DJI病例,该病例是围流管状腺瘤的次要病例.
- 讨论DJI的管理和治疗选择,DJI是由周边脉冲性病变引起的.
主要方法:
- 一个30岁的女性的病例报告,在18个月的病史中出现了胃肠道症状.
- 诊断工作包括成像和内镜活检.
- 手术管理涉及一个初步计划的 transduodenal ampullectomy,转换为胰腺oduodenectomy.
主要成果:
- 诊断二内内分泌的二次到一个大的周围管状管状腺瘤.
- 由于病变大小,成功进行了胰腺双管切除术.
- 患者在手术后的15个月内没有出现症状.
结论:
- DJI二次于周围腺瘤是一种罕见但显著的临床情景.
- 胰腺双管切除术是大围腺瘤的最终治疗选择,当囊切除术不可行时会导致DJI.
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