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1
題名:Ampullary Adenocarcinoma Presenting with Acute Pancreatitis and Anemia    
壺腹癌罕見的以急性胰臟炎及貧血為表現
著者:Hung-Da Chen(陳泓達) ;Wen-Hsiung Chang(張文熊) ;Kuo-Shyang Jeng(鄭國祥) ;Yu-Jen Chen(陳瑜珍) ;Huan-Chao Lin(林煥超) ;Shou-Chuan Shi(施壽全) ;Yu-Ren Chen(陳裕仁)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:壺腹癌 ; 黃膽 ; 胰臟炎 ; ampullary carcinoma ; jaundice ; pancreatitis
刊名:Journal of the Chinese Oncology Society
頁碼:52-58
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

壺腹癌是一不常見的癌症。壺腹癌最常見之症狀表現為黃膽,約佔壺腹癌病人的百分之七十。其他常見的症狀為腹痛、體重減輕。只有三到五個百分點的壺腹癌病人以急性胰臟炎來表現。壺腹癌病人中三分之一會有貧血的表現。 在此我們報告一個壺腹癌病人,罕見地以嚴重貧血及急性胰臟炎為表現,而未以黃膽表現。腹部電腦斷層及腹部超音波發現肝內膽管、總膽管、及胰管擴張。內視鏡逆行性膽胰管攝影時發現壺腹腫瘤,內視鏡生檢切片證實為壺腹腺癌。病人接受惠浦氏手術(Whipple's resection)及術後放射及化學治療。病人在術後十個月因癌症復發及轉移而死亡。
Adenocarcinoma of the ampulla of Vater is an uncommon malignancy. Jaundice is the most common presentation of ampullary cancer, and about 70% of patients present with jaundice. Other common symptoms include abdominal pain and weight loss. Only 3-5 % of patients with ampullary cancer are associated with acute pancreatitis. About one-third of patients with ampullary cancer present anemia. We report a case of ampullary cancer, presenting with severe anemia and acute pancreatitis but not jaundice. Abdominal ultrasonography and abdominal computed tomography revealed dilatation of the common bile duct, intra-hepatic duct, and pancreatic duct. Endoscopic retrograde cholangiopancreatogram showed a tumor of the ampulla of Vater, and biopsy proved adenocarcinoma of the ampulla of Vater. The patient underwent Whipple's resection, and adjuvant chemotherapy and radiotherapy. She died 10 months after operation because of cancer recurrence and metastasis.


    

本卷期目次
Journal of the Chinese Oncology Society
Postoperative Intensity Modulated Radiation Therapy in Oral Cavity Cancer/ Shih-Hua LiuYu-Jen Chen
A Good Ending-Holistic Care for Patients with Head and Neck Cancers/ Hong-Wen ChenYu-Jen ChenYi-Shing LeuChung-Ji LiuYi-Fang ChangChun-Kai FangHui-Ching LiuYuen-Liang Lai
Treatment in Patients with Malignant Glial Neoplasms: A Retrospective Analysis of Clinical Parameters, Therapy, and Outcome/ Sheng-Yu ChengCheng-Kuei ChangCheng-Chia Tsai
Clinical Application of 18F-FDG PET and PET/CT in Patients with Head and Neck Cancers/ Bing-Fu ShihChin-Ho TsaoKu-Hung LinMing-Che Wu
Olfactory Groove Meningiomas: Surgical Experience from 35 Cases/ Shu-Mei ChenKuo-Chen WeiShih-Tseng LeeTai-Ngar LuiYung-Hsing HsuTzu-Kang LinChi-Cheng ChuangPeng-Wei HsuChieh-Tsai WuTsung-Che HsiehSai-Cheung LeeChen-Nen Chang
Unusual Presentation of Metastatic Retroperitoneal Lymphadenopathy in Nasopharyngeal Carcinoma/ Yi-Shing LeuChi-Yuan TzenYi-Fang ChangJon-Kway Huang
Ampullary Adenocarcinoma Presenting with Acute Pancreatitis and Anemia/ Hung-Da ChenWen-Hsiung ChangKuo-Shyang JengYu-Jen ChenHuan-Chao LinShou-Chuan ShiYu-Ren Chen
Goblet Cell Carcinoid of the Jejunum/ Shih-Yu HuangWen-Hsiung ChangChien-Liang LiuChi-Kuan ChenShou-Chuan ShihCheng-Hsin Chu
The Successful Closure of Jejunostomy in Sigmoid Colon Cancer with Advanced Intra-Abdominal Carcinomatosis Rescued by Cytoreductive Surgery and Systemic Chemotherapy/ Huan-Chau LinJohnson LinRuey-Kuen HsiehTsang-Pai LiuYi-Fang ChangKa-Ee Ling
以腫瘤出血為表現的中心性腦神經細胞瘤/ 黃亮瑋劉安正黃錚暉林慶揚高木榮張至文白玟娟蕭勝煌
 
   
 
   

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