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| 1 | Metastatic tumors to the pancreas: The role of surgery显示文摘Pancreatic metastases from other primary malignancies are a rare entity. By far, the most common primary cancer site resulting in an isolated pancreatic metastasis is the kidney, followed by colorectal cancer, melanoma, breast cancer, lung carcinoma and sarcoma. Only few data on the surgical outcome of pancreatic resections performed for metastases from other primary tumor have been published, and there are no guidelines to address the surgical treatment for these patients. In this study, we performed a review of the published literature, focusing on the early and long-term results of surgery for the most frequent primary tumors metastasizing to the pancreas. Results for the Literature's analysis show that in last years an increasing number of surgical resections have been performed in selected patients with limited pancreatic disease. Pancreatic resection for metastatic disease can be performed with acceptable mortality and morbidity rates. The usefulness of pancreatic resection is mainly linked to the biology of the primary tumor metastasizing to the pancreas. The benefit of metastasectomy in terms of patient survival has been observed for metastases from renal cell cancer, while for other primary tumors, such as lung and breast cancers, the role of surgery is mainly palliative. | Cosimo Sperti Lucia Moletta Giuseppe Patanè | 2014 | World Journal of Gastrointestinal Oncology2014，6，10： | 8 |
| 2 | 胰腺脂肪肉瘤1例报告显示文摘1 病例资料患者女性,72岁,因“胰腺占位1个月”于2018年1月10日就诊于本院。患者1个月前于当地医院体检行腹部CT检查提示:胰腺占位性病变。患者为求进一步诊治就诊于本院,既往史:高血压病史15年,血压最高200/100 mm Hg,未规律服用降压药物,血压控制较差。糖尿病史3年,每日规律应用胰岛素,血糖控制良好。腹部查体:无明显阳性体征。术前检查肿瘤标志物:CA19-9 39.67 U/ml。其余未见明显异常。肝胆脾胰多排CT平扫+三期增强检查示:胰腺体部见局限性脂肪密度影突出于胰腺轮廓之外,大小约9.4 cm×4.1 cm,占位内部可见软组织密度影,动脉期见小血管影自胰腺发出,考虑胰腺脂肪肉瘤(图1)。 | 李书轩 吴昊 寇凯 吕国悦 | 2019 | 临床肝胆病杂志2019，35，5： | 0 |
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