胰高糖素瘤综合征的诊断和治疗(附一例报告及国内文献复习)  被引量:6

Glucagonoma syndrome report of One case and review of the chinese literature

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作  者:徐少明[1] 彭淑牖[1] 陈培辉[1] 

机构地区:[1]浙江医科大学附属第二医院外科,浙江医科大学病理学教研室

出  处:《中华外科杂志》1994年第9期565-567,共3页Chinese Journal of Surgery

摘  要:作者报告了1例恶性胰高糖素瘤综合征的诊治经验,并收集1981年以来国内文献中报道的恶性胰高糖素瘤共8例。作者综合分析了该9例(包括作者1例)指出:在目前国内检测血胰高糖素尚未普及的情况下,应把胰高糖素瘤四联征等典型临床表现和胰腺的影象学检查发现作为诊断依据,可减少误诊;对本病应采取积极的手术治疗,即使恶性、转移者亦可姑息性切除以缓解症状和延长生存期。AbstractThis paper reports one case with glucagonomasvndrome that resection of the primary glucagonoma inthe pancreas was done. There was metastesis one inliver and lynphnode. The definitive diagnosis was established by immunohistochemical analysis.The pa-tient remained well for 27 months and gained 5 kg ofweight.Another experiences of diagnosis and treaLment of 8 cases of malignant glucagonoma collected inchinese literature were reviewed. The clinical specialityof glucagonoma syndrome. diagonosis and managementwere discussed suggesting two points: on diagnosis theclinical speciality is a important clues; palliative prima-ry tumor resection may be significant clinical improve-ment and prolonged survival.

关 键 词:胰腺肿瘤 胰高糖素瘤 综合征 

分 类 号:R735.9[医药卫生—肿瘤]

 

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