中华消化外科杂志
中華消化外科雜誌
중화소화외과잡지
CHINESE JOURNAL OF DIGESTIVE SURGERY
2014年
10期
819-821
,共3页
曹学峰%管清海%王西秀%卢艳敏%袁帅%欧琨
曹學峰%管清海%王西秀%盧豔敏%袁帥%歐琨
조학봉%관청해%왕서수%로염민%원수%구곤
胰高血糖素瘤%诊断%治疗
胰高血糖素瘤%診斷%治療
이고혈당소류%진단%치료
Glucagonoma%Diagnosis%Treatment
胰高血糖素瘤是临床少见的胰腺神经内分泌肿瘤,它以坏死松解性游走性红斑(NME)、糖尿病、贫血和体质量减轻为特征,其中NME是胰高血糖素瘤最具特征性的临床表现.胰高血糖素瘤最重要的实验室检查依据为空腹胰高血糖素水平,定位及评估肿瘤有无脏器转移需借助各种影像学检查,手术是目前治疗胰高血糖素瘤的主要手段.2013年12月山东省滨州医学院附属医院收治1例胰高血糖素瘤患者,为临床诊断与治疗胰高血糖素瘤积累经验.
胰高血糖素瘤是臨床少見的胰腺神經內分泌腫瘤,它以壞死鬆解性遊走性紅斑(NME)、糖尿病、貧血和體質量減輕為特徵,其中NME是胰高血糖素瘤最具特徵性的臨床錶現.胰高血糖素瘤最重要的實驗室檢查依據為空腹胰高血糖素水平,定位及評估腫瘤有無髒器轉移需藉助各種影像學檢查,手術是目前治療胰高血糖素瘤的主要手段.2013年12月山東省濱州醫學院附屬醫院收治1例胰高血糖素瘤患者,為臨床診斷與治療胰高血糖素瘤積纍經驗.
이고혈당소류시림상소견적이선신경내분비종류,타이배사송해성유주성홍반(NME)、당뇨병、빈혈화체질량감경위특정,기중NME시이고혈당소류최구특정성적림상표현.이고혈당소류최중요적실험실검사의거위공복이고혈당소수평,정위급평고종류유무장기전이수차조각충영상학검사,수술시목전치료이고혈당소류적주요수단.2013년12월산동성빈주의학원부속의원수치1례이고혈당소류환자,위림상진단여치료이고혈당소류적루경험.
Glucagonoma is a kind of neuroendocrine tumor of the pancreas,which is rarely seen in clinical practice.Glucagonoma is characterized by necrolytic migratou erythema (NME),diabetes,anemia and body weight loss,and NME is the most characteristic clinical manifestation.The most important laboratory basis of glucagonoma is the levels of fasting plasma glucagon.Various imaging examinations are helpful for the localization of the tumor.Operation is the main method for the treatment of glucagonoma.A patient with glucagonoma was admitted to the Affiliated Hospital of Binzhou Medical College in December 2013,and the experiences in the diagnosis and treatment of glucagonoma were shared based on the data of this patient.