Adenosquamous carcinoma of the pancreas: report of two cases

Adenosquamous carcinoma of the pancreas: report of two cases
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DOI:
10.1007/s002610000059
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发表时间:
2000-07-01
期刊:
影响因子:
--
通讯作者:
Ishida, J
Ishida, J
中科院分区:
医学3区
文献类型:
--
作者:
Komatsuda, T;Ishida, H;Ishida, J

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胰腺腺鳞癌是一种罕见的肿瘤。我们分析了两个病例的影像学表现和临床表现。在这两个病例中(一名51岁女性和一名67岁男性),门静脉系统被选择性地大量侵犯,一个是上级肠系膜静脉,另一个是脾静脉,没有动脉侵犯。因此,胰腺ASqC患者应仔细观察胰周血管。一个病例显示了一种不寻常的传播方式。最初只发现一个巨大的转移灶,导致误诊为原发性恶性肠系膜肿瘤。如此不寻常的增长模式也值得注意。
Adenosquamous carcinoma (ASqC) of the pancreas is a rare tumor. We analyzed the radiologic findings and clinical manifestations in two such cases. In both cases (a 51-year-old woman and a 67-year-old man), the portal system was selectively and largely invaded, the superior mesenteric vein in one and the splenic vein in the other, without arterial invasion. Thus, peripancreatic vessels should be carefully observed in patients with ASqC of the pancreas. One case showed an unusual mode of spread. Only a huge metastatic lesion was initially detected, leading to the misdiagnosis of primary malignant mesenteric tumor. Such an unusual growth pattern is also worth noting.