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Primary Pancreatic Squamous Cell Carcinoma: Report of a Case

原發性胰臟鱗狀細胞癌:一病例報告

摘要


原發性胰臟鱗狀細胞癌在胰臟腫瘤中是非常少見的惡性腫瘤。之前研究中對於這種罕見的胰臟惡性腫瘤在所有胰臟腫瘤中大約佔有0.2%至0.5%。在這裡我們描述一位65歲的女性,臨床症狀爲上腹部不適。經過檢查後發現有一大胰臟頭腫塊,病理證實爲鱗狀細胞癌。檢查其他常見鱗狀細胞癌原發位置均爲陰性。我們討論這一難得見的原發性胰臟鱗狀細胞癌可能的致癌機轉,臨床表現,治療及預後。

關鍵字

胰臟癌 鱗狀細胞癌

並列摘要


Primary pancreatic squamous cell carcinoma is rarely recognized in pancreatic malignancies. Prior reported incidence was 0.2% to 0.5% in all pancreatic malignancies. Here we describe a 65-year-old woman with epigastric pain radiating to back for one month. After extensive workup, a large pancreatic head mass with pathology proven squamous cell carcinoma was diagnosed. Survey of other common site of primary sqaumous cell carcinoma was all negative. We discuss the possible oncogenic pathogenesis, clinical manifestations, treatment and prognosis of this rare disease. Existing literatures were also reviewed in order for better understanding of this rare pancreatic malignancy.

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