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Metastatic Small-Cell Lung Cancer Presenting as Acute Pancreatitis

小細胞肺癌與轉移誘發之急性胰臟炎

摘要


小細胞肺癌有著較不好的臨床病程,在小細胞肺癌患者中,胰臟轉移並不罕見。但是小細胞肺癌合併胰臟轉移誘發之急性胰臟炎則非常罕見。我們在這篇文章中報告一位65歲女性小細胞肺癌的病患以胰臟轉移誘發之急性胰臟炎作為初始表現。組織學證實為小細胞癌。電腦斷層檢查發現胰臟有多發轉移。此疾病表現在文獻報告中相當少,有著更不好的臨床預後,化學治療在某些病患可能有好處。

並列摘要


Small-cell lung cancer has aggressive clinical behavior. It is not uncommon for small-cell lung cancer patients to have pancreatic metastasis. However, metastasis-induced acute pancreatitis is rare. We report on a 65-year-old woman with extensive-stage small-cell lung cancer with pancreatic metastasis initially presenting with acute pancreatitis. Computed tomography showed multiple pancreatic metastatic lesions, and pathology confirmed small cell carcinoma. This rare manifestation has an unfavorable outcome. Palliative chemotherapy may provide survival benefits in selected cases.

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