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題 名 | Functional Pancreatic Islet Cell Tumors with Liver Metastasis: The Role of Cytoreductive Surgery and Transcatheter Arterial Chemoembolization: A Report of Five Cases=功能性胰臟島細胞腫瘤併發肝臟轉移之處理: 細胞減量手術及經導管動脈化學栓塞治療之角色 |
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作 者 | 黃怡翔; 李建賢; 吳肇卿; 王苑貞; 張扶陽; 李壽東; | 書刊名 | 中華醫學雜誌 |
卷 期 | 61:12 1998.12[民87.12] |
頁 次 | 頁748-754 |
分類號 | 416.248 |
關鍵詞 | 細胞減量手術; 功能性胰臟島細胞腫瘤; 經導管動脈化學栓塞治療; Cytoreductive surgery; Pancreatic islet cell tumor; Transcatheter arterial chemoembolization; |
語 文 | 英文(English) |
中文摘要 | 惡性胰臟島細胞腫瘤為緩慢生長之腫瘤,因其相對良性之腫瘤特性而值得積極治 療。自1987年1月至1998年1月,臺北榮民總醫院共診斷出5例惡性胰臟島細胞腫 瘤合併肝臟轉移之案例。其中3例為胃泌細胞癌、1例為血管活性小腸胜�騔龤B1例為胰島 素癌。3例胃泌細胞癌及1例胰島素癌患者在轉移診斷確立後接受細胞減量手術,之後均接 受經導管動脈化學栓塞治療。其存活時間分別為38、17、8及20個月,另一例血管活 性小腸胜�騔饡w者僅接受經導管動脈化學栓塞治療而存活12個月。其結論:轉移性胰臟島 細胞腫瘤仍可接受積極治療,合併細胞減量手術及經導管動脈化學栓塞治療對肝轉移之胰臟 島細胞腫瘤患者極具療效。 |
英文摘要 | Malignant pancreatic islet tumors are slow-growing tumors. Their relatively benign behavior makes aggressive treatment worthwhile. From January, 1987, to January, 1998, five cases of malignant pancreatic islet tumors with liver metastasis were diagnosed at the Veterans General Hospital-Taipei. Of these, three were gastrinomas and the others were vasoactive intestinal peptide (VIPoma, 1 case) and insulinoma (1 case). Four patients (3 with gastrinomas and 1 with insulinoma) had undergone cytoreductive surgery when the diagnosis of metastasis was made. All five patients underwent transcatheter arterial chemoembolization (TACE). All patients had improved symptoms after cytoreductive surgery and TACE. The survival of patients who underwent combined surgery and TACE was 38 and 17 months in the two gastrinoma cases, more than eight months in one gastrinoma case and more than 20 months in the insulinoma case (these 2 patients are still alive). One VIPoma patient who underwent TACE survived for 12 months. In conclusion, treatment for metastatic pancreatic islet cell tumors require a multidisciplinary approach. Metastasis of the tumor is not a contraindication for aggressive therapy. Combined cytoreductive surgery and TACE can relieve symptoms and are of benefit for patients with pancreatic islet cell tumors with liver metastases. |
本系統中英文摘要資訊取自各篇刊載內容。