论文部分内容阅读
引起抑制生长素瘤(Somatostatinoma)综合症的胰腺内分泌肿瘤是近来才被认识的少见肿瘤。其特点只有经过组织化学、免疫细胞化学或超微结构的研究后方能认识。本文报告一例胰副管开口处的抑制生长素瘤,临床症状不典型,但无播散。患者男性,46岁。1958年因消化性溃疡而行胃次全切除术,BillrothⅡ式胃空肠吻合术。1983年有上腹痛4～5个月,疼痛与饮食无关,间歇性痛,偶向背部放射。体重下降18 kg,厌食,每天5～6次脂肪痢。有间断的呼吸困难和左侧胸痛。无发热、寒战、恶心、呕吐、深色尿或黄疸。无糖尿病、胆石症或胰腺炎的病史。
Pancreatic endocrine tumors that cause the suppression of somatostatinoma syndrome are rare tumors that have only recently been recognized. Its characteristics can only be recognized after the study of histochemistry, immunocytochemistry or ultrastructure. This article reports one case of inhibiting auxin tumors at the opening of the pancreatic accessory duct. The clinical symptoms are not typical, but there is no spread. The patient is 46 years old. In 1958, subtotal gastrectomy was performed due to peptic ulcer and Billroth type II gastrojejunostomy was performed. In 1983, there was epigastric pain for 4 to 5 months. The pain was not related to diet, intermittent pain, and even back radiation. Weight loss 18 kg, anorexia, 5 to 6 times a day fat stew. There is intermittent dyspnea and chest pain on the left side. No fever, chills, nausea, vomiting, dark urine, or jaundice. No history of diabetes, cholelithiasis, or pancreatitis.