Diagnosis and treatment of heterotopic pancreas coexisting with digestive tract tumor: a report of 26 cases

作者：Tu Chao Yong^*; Zhu Wan Lin; Shao Chu Xiao; Zhu Jin De; Tu Jian Fei; Zhou Xin Mu; Lin Qiao Mei; Zhang Kun; Li Zhuo Kai^*; Tan Wei; Jiang Chuan; Chen Wei^*

来源：International Journal of Clinical and Experimental Medicine, 2017, 10(5): 8535-8544.

• Digestive tract tumor
• heterotopic pancreas
• coexisting
• diagnosis and treatment

Heterotopic pancreas (HP) coexisting with digestive tract tumor is scarce. Its diagnosis and treatment isn't well known. In the present study, clinical data of 26 cases of HP coexisting with digestive tract tumor diagnosed with pathology from January 1996 to December 2015 were analysed retrospectively. Each pathological slide was reviewed. Patients data included age, gender, symptoms, diagnostic methods, coexisting digestive tract tumor' characteristics, treatment and follow up. Follow up data were completed by telephone. 25 cases owned digestive tract symptoms. Coexisting diseases included 20 cases of gastric cancer, 3 cases of ascending colon adenocarcinoma, 1 case of gastric stromal tumor, stromal tumor of proximal jejunum and duodenal hemangioma, respectively. 1 cases was diagnosed preoperatively. Intraoperatively, 10 cases were found, 4 cases of which were confirmed by frozen section. 15 cases were diagnosed postoperatively. All cases underwent resection. HP didn't recur in all cases. 16 cases of coexisting digestive malignant tumor died of tumor recurrence and/or metastasis. Therefore, symptoms of HP coexisting with digestive tract tumor are atypical. It's helpful to diagnose it with preoperative ultrasonic endoscopy, imaging examinations and intraoperative frozen section. Benign lesions should undergo resection.

• 出版日期2017