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Trousseau's Syndrome Associated with Pancreatic Cancer

胰臟癌合併Trousseau症候群

摘要


Trousseau症候群為無法解釋的血栓疾病發生於潛藏的惡性腫瘤診斷前或診斷之同時,文獻上有報告中晚期胰腺癌有相當比例合併血栓栓塞性疾病。我們報告一64歲男性患者罹患胰頭癌,接受根治性胰頭十二指腸切除術後一週發生多發性急性缺血性中風,患者經及時低分子量肝素適當治療後,追蹤期間無再有血栓栓塞復發。

並列摘要


Trousseau's syndrome is defined as any unexplained thrombotic event that precedes the diagnosis of an occult visceral malignancy or appears concomitantly with a tumor. The high incidence of thromboembolic disease in patients with advanced pancreatic carcinoma has been well reported. We report a case of Trousseau's syndrome in a 64-year-old man with pancreatic head cancer, presenting with acute ischemic stroke one week following pancreaticoduodenectomy. The patient was promptly treated with low-molecular-weight heparin without recurrence of thromboembolic events during follow-up.

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