摘要
胰腺神经内分泌肿瘤临床罕见,早期诊断较困难。尽管其极易早期转移至肝脏,但手术也非绝对禁忌,切勿因噎废食。当出现肝转移后,医患双方应该明确的是,虽彻底治愈率相对较小,但是一旦病灶切除,将会在很大程度上提高生活质量并且有利于预后的改善,极大的减轻患者痛楚。然而,一旦术后出现复发,其转移灶大多位于肝内,在治疗方面仍然有相当的价值,亦可积极争取手术治疗。本文主要根据近年来外科手术治疗胰腺神经内分泌肿瘤肝转移的研究进展做一综述。
Pancreatic neuroendocrine neoplasms(pNENs)are rare and the most common distant site of metastasis is liver.Early diagnosis of pancreatic neuroendocrine neoplasm is difficult.Although pNENs is prone to early liver metastasis,patients must be clear about the possibility of satisfactory occurrence,which is not certain to occur.Therefore,this must not be an absolute taboo in patients'surgery,so do not give up eating for choking.Although the complete cure rate is relatively small,once the lesion is removed,the quality of life will be improved and the pain of patients will be reduced.Once the postoperative recurrence,most of metastasis is still in liver,which still has a surgical treatment opportunity.This review is based on the recent advances in surgical treatment of pNENs with liver metastasis.
作者
李铁汉
白亦焘
Li Tiehan;Bai Yitao(Department of Hepatobiliary Pancreatic Surgery,Second Affiliated Hospital of Kunming Medical University,Kunming 650108,China)
出处
《中华转移性肿瘤杂志》
2020年第1期75-77,共3页
Chinese Journal of Metastatic Cancer
关键词
胰腺神经内分泌肿瘤/外科学
肝转移
进展
Pancreatic neuroendocrine neoplasms/surgery
Liver metastases
Progress