Two Cases of Rare Pancreatic Malignancies

W. Hanayneh, Hiral D. Parekh, G. Fitzpatrick, Michael M. Feely, T. George, J. Starr
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引用次数: 4

Abstract

Abstract Background: Pancreatic adenocarcinoma remains one of the most lethal malignancies with little treatment advancements. Other less common pancreatic cancer histologies have different outcomes and disease course. In this article, we report two cases of rare pancreatic tumors. Presentation: The first case is a 59-year old, who was undergoing surveillance of a known pancreatic cyst, which eventually enlarged. The mass was resected and pathology revealed undifferentiated carcinoma with osteoclast-like giant cells. The patient did not receive any adjuvant therapy and has had no recurrence. The second case is of a 60-year-old patient who presented with signs and symptoms of pancreatic insufficiency and was found to have clear cell adenocarcinoma of the pancreas. She received neoadjuvant chemoradiotherapy followed by surgical resection without complications. Conclusion: Our article presents these rare malignancies, which had outcomes that are more encouraging than typical adenocarcinomas. Genomic sequencing can provide more insight into these tumors and potentially provide targets for therapy.
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罕见胰腺恶性肿瘤2例
背景:胰腺腺癌仍然是最致命的恶性肿瘤之一,治疗进展甚微。其他不常见的胰腺癌组织学有不同的结局和病程。本文报告两例罕见的胰腺肿瘤。第一个病例是一个59岁的患者,他正在接受一个已知的胰腺囊肿的监测,最终扩大。切除肿块,病理显示未分化癌伴破骨细胞样巨细胞。患者没有接受任何辅助治疗,也没有复发。第二个病例是一个60岁的病人,他表现出胰腺功能不全的症状和体征,并被发现患有胰腺透明细胞腺癌。患者接受新辅助放化疗后手术切除,无并发症。结论:我们的文章介绍了这些罕见的恶性肿瘤,其结果比典型的腺癌更令人鼓舞。基因组测序可以对这些肿瘤提供更多的了解,并可能提供治疗的靶点。
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