Diagnosis and treatment of intraperitoneal hemorrhage from spontaneous rupture of mixed pancreatic cancer

VernacularTitle:胰体尾混合癌自发破裂致腹腔内大出血的诊断与治疗
Author: Baga SHAN ; Juan LI ; Zhilei SU ; Hao WANG ; Yufei JIAO ; Sheng TAI
Publication Type:Journal Article
Keywords: Pancreatic neoplasms; Rupture; Mixed duct-acinar-islet cell tumor
From: Chinese Journal of Digestive Surgery 2015;14(12):1053-1055
CountryChina
Language:Chinese
Abstract: Pancreatic ductal carcinoma accounts for 85％-90％ in pancreatic cancer, followed by the pancreatic cellendocrine tumors and pancreatic acinar cell carcinoma.In addition, mesenchymal cell carcinoma of pancreas is rare, and a mixed pancreatic cancer from 3 cells carcinoma is extremely rare.And pancreatic cancer always assume hypovascular tumor,spontaneous rupture of pancreatic cancer is rarely reported.A patient with a mixed duct-acinar-islet cell tumor of pancreas was admitted to the Second Affiliated Hospital of Harbin Medical University in June 2014, and underwent emergent operation of intraabdominal bleeding due to spontaneous rupture of tumor.The follow-up was done up to January 20, 2015.The patient died of intraabdominal widespread implantation metastasis of pancreatic cancer.A mixed duct-acinar-islet cell tumor of pancreas is extremely rare and easy to metastasis and diffusion of tumor with a rapid disease progression and a poor prognosis of patient,while operation is the key to terminate deterioration of the condition, and is the last line of defense to save lives.