目的探讨胰高血糖素瘤的临床特征及诊治方法。 方法报道重庆医科大学附一院新发胰腺胰高血糖素瘤临床案例1例，并对该病相关文献进行复习。 结果胰高血糖素瘤主要来源于胰腺α2细胞，少数来自于胃或十二指肠的氨前体摄取和脱羧细胞，以坏死性溶解性游走性红斑、糖尿病、消瘦、贫血等为主要临床表现，手术疗效理想。 结论胰高血糖素瘤是一种临床上罕见的消化道神经内分泌肿瘤，手术切除是其最为有效的治疗手段。
ObjectiveTo summary the treatment of pancreatic neuroendocrine neoplasms (pNENs). MethodsArticles relevant to pNENs at home and abroad were collected and reviewed. ResultsBecause of rare incidence and non-specific clinical syndromes of pNENs, clinician had no enough cognition about it. For pNENs, surgery was still the preferred option, combining other treatments included chemotherapy, somatostatin analogue, α-interferon, molecular targeted therapy, and peptide receptor radionuclide therapy (PRRT). ConclusionSurgery is still considered as the preferred option for controlling the associated biochemical syndromes and curtailing the malignant progression of pNENs.
ObjectiveTo study the diagnosis and treatment of multiple neuroendocrine carcinoma.MethodClinical data of a case of multiple neuroendocrine carcinoma was retrospective analyzed.ResultsAfter discussion by a multidisciplinary team (MDT), the patient was diagnosed as multiple neuroendocrine carcinoma with late clinical stage and inoperable. Chemotherapy and radiotherapy were given, which showed significant effects, and the patient died after 1 year of follow-up.ConclusionIn the clinical diagnosis and treatment of patients with multiple neuroendocrine carcinoma, MDT cooperative treatment model should be adopted to provide a better treatment program.