作者
李 平,万炎鑫,阳海金,伍小琼
文章摘要
目的:对神经内分泌肿瘤的临床特征及治疗进行总结,以提高临床对该病的诊疗能力。方法:对湖南师范大学附属岳阳医院收治的1例神经内分泌肿瘤患者的临床表现、相关辅助检查结合既往文献复习进行分析。结果:本例患者以腹泻、腹痛起病,PCT水平明显升高,通过肝穿刺活检确诊。结论:PCT升高常常考虑感染、甲状腺肿瘤等因素引起,早期极易误诊,本例报道将丰富对PCT的认识,从而降低误诊率及漏诊率。
文章关键词
PCT;神经内分泌肿瘤;病例报道
参考文献
[1] Trimboli P,Lauretta R,Barnabei A,et al.Procalcitonin as a postoperative marker in the follow-up of patients affected by medullary thyroid carcinoma[J].Int J Biol Markers.2018;33:156-60.
[2] Han X,Zhong H,Hong D,et al.Elevated procalcitonin levels in primary hepatic neuroendocrine carcinoma:Case report and literature review[J].Medicine.2020;99:31(e21210).
[3] Hagiya Hideharu,Matsui Takahiro,Kitamura Tetsuhiro,et al.Pancreatic Neuroendocrine Tumor Abnormally Secreting Procalcitonin[J]. Pancreas.2017,46:e7-e9.
[4] Wang W-Z,Xu L-J,Hu D-M,et al.Case of an abnormal procalcitonin-producing metastatic pancreatic neuroendocrine tumor[J].Clin Case Rep.2020.8:2269-2272.
[5] Qida,Hu,Piaopiao Jin,Xinyu Zhao,et al.Esophageal neuroendocrine carcinoma complicated with unexpected hyperprocalcitonin:Case report and literature review.[J].Medicine(Baltimore).2018.97(40),0.
[6] Chen L,Zhang Y,Lin Y,et al.The role of elevated serum procalcitonin in neuroendocrine neoplasms of digestive system[J].Clin Biochem 2017;50:982–7.
[7] Avrillon V,Locatelli-Sanchez M,Folliet L,et al.Lung cancer may increase serum procalcitonin level.Infect Disord Drug Targets 2015;15:57-63.
[8] Pierre-Alain Billy,Laurence Parmeland,Sylvie Brunette,et al.A major procalcitonin elevation without sepsis in a metastatic small cell lung carcinoma[J].Ann Biol Clin(Paris).2017,75(5):572-5.
[9] Itoga M,Tanaka H,Taima K,et al.Procalcitonin expression in patients with large cell neuroendocrine carcinoma of the lung.BMC Res Notes[J].2021.14(1):25.
[10] K,Takahashi,E,Ozawa,K,Nakao,et al.Hepatobiliary and Pancreatic:A procalcitonin-secreting and calcitonin-secreting pancreatic neuroendocrine carcinoma[J].J Gastroenterol Hepatol,2019,34:0.
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