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您的检索式：作者名="Nafaa Arfa"
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| 1 | Metachronous cancer of gallbladder and pancreas with pancreatobiliary maljunction显示文摘Pancreaticobiliary maljunction is a congenital anomaly in which the junction between the pancreatic duct and the common bile duct is located outside the sphincter of Oddi.It is well known that pancreaticobiliary maljunction is frequently associated with carcinoma of the biliary tract.We report a case of metachronous cancer of the gallbladder and pancreas associated with pancreaticobiliary maljunction and cystic dilatation of common bile duct in a 68-year-old Tunisian woman who underwent a cholecystectomy for acute cholecystitis.The pancreatic tumor was an adenosquamous carcinoma.Pancreaticobiliary maljunction allows for pancreatobiliary or biliopancreatic reflux which may induce biliary tract carcinoma.Few cases of multifocal cancer associated with this anomaly have been reported.The association with pancreatic carcinoma remains rare.Close attention should be given to both the biliary tract system and pancreas during the long-term follow-up of patients with pancreaticobiliary maljunction,especially after they have undergone a choledochojejunostomy. | Ahlem Lahmar Sadri Ben Abid Mohamed Nafaa Arfa Rached Bayar Mohamed Tahar Khalfallah Sabah Mzabi-Regaya | 2010 | World Journal of Gastrointestinal Surgery2010，2，4： | 8 |
| 2 | Acinar cell carcinoma of the pancreas in a young patient with chronic pancreatitis显示文摘BACKGROUND:Acinar cell carcinoma (ACC) is a rare malignancy of the pancreas arising from acinar cells.Unlike ductal adenocarcinoma,this tumor rarely presents with pancreatitis.METHODS:We present a case of ACC associated with chronic calcifying pancreatitis,and a review of the literature focusing on diagnosis and management.RESULTS:A 43-year-old man was proposed for Wirsungojejunal derivation for chronic pancreatitis.Histopathological examination of the tissue extracted revealed an ACC.Duodenopancreatectomy was performed.Six months postoperatively,the patient developed hepatic metastasis and was treated with gemcitabine as palliative chemotherapy.CONCLUSIONS:The clinical presentation of ACC of the pancreas is not specific and the tumor can be underdiagnosed when associated with chronic pancreatitis.Data regarding course,treatment,and prognosis of this tumor are generally lacking. | Fatima-Zahra Kebir Ahlem Lahmar Nafaa Arfa Saber Manai Mohamed Ali El Ouaer Saadia Bouraoui Carole Gouttalier Sabah Mezabi-Regaya | 2010 | Hepatobiliary & Pancreatic Diseases International2010，9，1： | 3 |
| 3 | Pancreaticoduodenectomy in the elderly over 80 years:a case report显示文摘BACKGROUND: An increasing number of elderly patients have been considered for major surgical procedures, such as pancreaticoduodenectomy. The decision to recommend this operation for localized pancreatic cancer or other periampullary process in a very elderly patient is complicated by the frailty of the patient and the poor prognosis of the disease. Moreover, increased surgical experience associated with better patient selection may reduce the mortality rate, even in very elderly patients (over 80 years of age), after pancreaticoduodenectomy. METHODS: An 84-year-old woman underwent pancreatico- duodenectomy for ampullary adenocarcinoma. The tumor was classified pT3N0M0. RESULT: A good postoperative outcome was obtained. The patient is still alive, 18 months after operation. CONCLUSIONS: Radical resection of periampullary tumors is safe in selected patients of advanced age, with morbidity and mortality rates approaching those observed in younger patients. Age alone should not be a contraindication for pancreatic resection. | Hassen Hentati Nafaa Arfa Noomen Haouas Sana Landolsi Walid Gharbi Nizar Miloudi Saber Manna Brahim Ghariani Lassaad Gharbi Hafedh Mestiri Mohamed Taher Khalfallah | 2007 | Hepatobiliary & Pancreatic Diseases International2007，6，1： | 0 |
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