多学科协作诊疗1例巨大胰腺囊性淋巴管瘤  

Multi-disciplinary treatment in treatment of a case of giant pancreatic cystic lymphangioma

作　　者：谢佳宝 刘志[1,3] 严德辉[1,3] 李建水[1,3] 谢亮[1,3] XIE Jiabao;LIU Zhi;YAN Dehui;LI Jianshui;XIE Liang(Department of Hepatobiliary Surgery 2,Affiliated Hospital of North Sichuan Medical College,Nanchong,Sichuan 637000,P.R.China;Department of Clinical Medicine,North Sichuan Medical College,Nanchong,Sichuan 637000,P.R.China;Northeast Sichuan Pancreatitis Treatment Center,North Sichuan Medical College,Nanchong,Sichuan 637000,P.R.China)

机构地区：[1]川北医学院附属医院肝胆外二科,四川南充637000 [2]川北医学院临床医学系,四川南充637000 [3]川北医学院川东北胰腺炎诊疗中心,四川南充637000

出　　处：《中国普外基础与临床杂志》2020年第9期1145-1149,共5页Chinese Journal of Bases and Clinics In General Surgery

基　　金：四川省卫计委课题(项目编号:17PJ106);川北医学院校级课题(项目编号:CBY18-A-YB17)。

摘　　要：目的总结多学科协作诊疗1例胰腺淋巴管瘤的效果。方法回顾性分析川北医学院附属医院于2020年3月收治的1例胰腺淋巴管瘤患者的临床资料,并复习文献,总结胰腺淋巴管瘤这一罕见疾病的术前诊断、治疗手段、围手术期以及术后长期的管理。结果该例患者入院后借助各类影像学及实验室检查诊断为胰腺肿瘤,性质不明,经MDT讨论后决定予以全胰切除术。术后予以药物、饮食调控血糖。患者术后肿瘤消失,出院后随访3个月未见肿瘤复发。结论胰腺淋巴管瘤罕见且缺乏明确的诊疗方案,MDT模式可为其带来更明确的诊断以及更有效的治疗方案。Objective To summarize the effect of the multi-disciplinary treatment(MDT)for a patient with giant pancreatic cystic lymphangioma.Methods The clinical data of a patient with pancreatic lymphangioma admitted to the Affiliated Hospital of North Sichuan Medical College in March 2020 was retrospectively analyzed,then reviewed the literatures,and summarized the preoperative diagnosis,treatment,and management of perioperative period and longterm period after surgery of this rare disease.Results After admission,the patient was diagnosed as pancreatic tumor by various imaging and laboratory examinations.The nature was unknown.After discussion by MDT,it was decided to undergo a total pancreatectomy(TP).After the operation,drugs and diet were given to regulate blood glucose.The patient’s tumor disappeared after the operation,and no tumor recurrence was found in the three months after discharge.Conclusions Pancreatic lymphangioma is rare and lacks a clear diagnosis and treatment plan.The MDT mode can bring a clearer diagnosis and more effective treatment for it.

关 键 词：胰腺囊性淋巴管瘤 多学科协作诊疗 全胰切除术 

分 类 号：R735.9[医药卫生—肿瘤]