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Successful Treatment of Pancreatic Arteriovenous Malformation with External Beam Radiotherapy

以體外放射線成功治療罕見胰臟動靜脈畸形

摘要


胰臟動靜脈畸形是一種罕見的疾病。除了疾病本身較為少見之外,因為診斷上較為困難,所以被診斷出來的案例不多。傳統上,血管攝影與電腦斷層攝影常用來診斷胰臟動靜脈畸形。而我們報告的這個案例一開始在電腦斷層攝影的影像上並無法診斷出胰臟動靜脈畸形,而是採用了內視鏡超音波才診斷出這個疾病。此外,我們在治療上採用最新的體外放射線儀器來進行放射線治療,最後成功的治癒這個病人。是一個少見以體外放射線成功根治胰臟動靜脈畸形的案例。

並列摘要


Pancreatic arteriovenous malformation (AVM) is a rare disease that occurs worldwide, but only a few sporadic cases have been reported in Taiwan. The poor definition of pancreatic AVM has been the major obstacle in its diagnosis. Conventionally, angiography and CT scans are used to diagnose pancreatic AVM. Here we report a case of pancreatic AVM that was initially disclosed by endoscopic ultrasound (EUS) and confirmed by angiography. In this case report, we will also present the very good response of pancreatic AVM to external beam radiotherapy.

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