文章摘要
Wenlong Zhai,Jianwen Ye,Zhiwei LIang,Chuang Zhou,Longshuan Zhao. A case of primary malignant fibrous histiocytoma of the pancreas with liver metastasis. Oncol Transl Med, 2015, 1: 261-263.
胰腺恶性纤维组织细胞瘤伴肝转移一例
A case of primary malignant fibrous histiocytoma of the pancreas with liver metastasis
Received:March 02, 2015  Revised:November 18, 2015
DOI:10.1007/s10330-015-0075-y
中文关键词: 恶性纤维组织细胞瘤;胰腺肉瘤;肝转移
英文关键词: malignant fibrous histiocytoma (MFH); pancreatic neoplasm; metastatic liver cancer
基金项目:郑州大学青年教师发展基金
Author NameAffiliationE-mail
Wenlong Zhai* Department of Hepatobiliary and Pancreatic Surgery, the First Affiliated Hospital of Zhengzhou University Zhengzhou 450052, China zhai-wl@hotmail.com 
Jianwen Ye Department of Hepatobiliary and Pancreatic Surgery, the First Affiliated Hospital of Zhengzhou University Zhengzhou 450052, China ven0371@126.com 
Zhiwei LIang the First Affiliated Hospital of Zhengzhou University zhiweiliangdoctor@yeah.net 
Chuang Zhou the First Affiliated Hospital of Zhengzhou zhouchuangzzu@sina.com 
Longshuan Zhao the First Affiliated Hospital of Zhengzhou lrfeng1008@163.com 
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中文摘要:
  恶性纤维组织细胞瘤是常见的软组织肉瘤,但其发生率在人类所有肿瘤中发生率低于1%,胰腺部位的恶性纤维组织细胞瘤是非常罕见的,在此,我们报道一例胰腺占位但无任何症状的37岁男性患者。平扫CT可见胰尾部出现密度不均,液化坏死肿块,增强CT肿块可见轻度增加,且可见胰十二指肠动脉穿行于肿块内。患者行胰十二指肠切除术+无水酒精消融术,术后给予环磷酰胺 多柔比星联合化疗4周期,术后8月肝脏可见转移灶,而非胰腺部位。
英文摘要:
    Malignant fibrous histiocytoma (MFH) is one of most common types of soft-tissue sarcoma. However, it accounts for less than 1% of all human cancer types. In addition, primary MFH of the pancreas is very rare. Herein, we report of a 37-year-old man who presented with a pancreatic mass and did not show any specific symptoms. Pre-contrast computed tomography (CT) showed a heterogeneous, liquid-filled necrotic mass in the uncinate lobe of the pancreas. Contrast-enhanced CT showed a mild enhancement of solid components and the pancreaticoduodenal artery across the mass. The patient underwent a pancreaticoduodenectomy, ethanol ablation of the liver lesions, and chemotherapy with 4 cycles of ifosfamide and doxorubicin. The tumor recurred in the liver, but not in the pancreas, after 8 months.
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