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題 名 | Pancreatic and Duodenal Lymphomas Coexistent with Colonic Carcinoma:Report of a Case=胰臟及十二指腸淋巴瘤合併大腸腺癌:一病例報告 |
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作 者 | 楊國君; 王秀伯; 王德宏; 江宜平; 林肇堂; | 書刊名 | 中華民國消化系醫學雜誌 |
卷 期 | 14:1 1997.03[民86.03] |
頁 次 | 頁30-36 |
分類號 | 415.5 |
關鍵詞 | 淋巴瘤; 腺癌; 大腸; 胰臟; Lymphoma; Adenocarcinoma; Colon; Pancreas; |
語 文 | 英文(English) |
中文摘要 | 淋巴瘤侵犯至胰臟或在胰臟週圍所形成的腫塊,不論在臨床及放射學上的表現, 均極類似原發性胰臟腺癌。但兩者的鑑別診斷極為重要,主要是由於這兩種疾病有不同的處 理方式,同時預後也極不相同。我們報告一例 77 歲的男性病患,因間斷性腹痛、腹瀉及體 重減輕而作進一步檢查。超音波及電腦斷層都顯示胰臟體部有一巨大腫塊並意外發現左心房 有另一腫塊。同時上腸胃道內視鏡及大腸內視鏡也分別在十二指腸及乙狀結腸發現各有一個 腫塊。超音波引導下以細針吸取胰臟腫瘤的細胞學檢查及在內視鏡下對此十二指腸腫塊進行 切片檢查,均顯示為大型 B 細胞型淋巴瘤。 而內視鏡下乙狀結腸的腫塊切片則顯示為大腸 腺癌。我們將針對此一少見病例的鑑別診斷及治療提出分析報告。 |
英文摘要 | Lymphoma with pancreatic or peripancreatic involvement may present clinical and radiological pictures similar to primary pancreatic adenocarcinoma. Differentiation of pancreatic lymphoma from ductal adenocarcinoma is crucial because of different therapeutic regimens and outcomes. Moreover, lymphomas coexistent with adenocarcinomas are rare. We reported a case of a 77-year-old male suffering from intermittent epigastric pain, diarrhea, and loss of body weight. Ultrasonography and computed tomogrpahy revealed a big pancreatic mass and another left atrial tumor. Panendoscopy showed a tumor at duodenal bulb and colonoscopy found a tumor at rectosigmoid area. Fine-needle aspiration cytology from the pancreatic mass and endoscopiic biopsy from duodenal tumor revealed lymphoma of diffuse large B cell origin. Endoscopic biopsy of this colonic tumor showed adenocarcinoma. The patient refused further treatment. The differential diagnosis and management of the rare disease entity will be discussed. |
本系統中英文摘要資訊取自各篇刊載內容。