腰椎骨转移为首发表现的乳头状粘液性囊腺癌一例.docVIP

A misdiagnosis case of the pancreas papillary mucinous cyst-adenocarcinoma Qiao peng-fei, Niu guang-ming, Gao yang * (Department of MRI, Affiliated hospital of Inner Mongolia Medical University,hohhot,010050,China) Abstract: The morbidity of papillary cyst-adenocarcinoma of the pancreas is very low, and is seldom first found in Spinal metastasis , so it is easily misdiagnosis before surgery. We report and discuss a case of papillary cyst-adenocarcinoma which for thoracolumbar metastasis as the starting performance in a 56-year-old male patient. Adenocarcinoma is a kind of tumors grown in gland epithelial, when it secreted more mucous called mucinous carcinoma. Furthermore, the mucinous carcinoma with a large number of papillary structures called papillary adenocarcinoma, cystic carcinoma with lumens highly expended called cyst-adenocarcinoma. Sometimes the cyst-adenocarcinoma accompanied with the growth of papillary, which is called papillary cyst-adenocarcinoma. Case Report. A 56-year-old male patient was admitted for backache more than 7 months, pain exacerbated for half a month. 6 months ago the patient felt lumbar acid and backache under no obvious predisposing causes. Once he received medical advice in affiliated hospital of Inner Mongolia medical university, make the lumbar CT, result: Three-quarters fiber ring of waist bulged. For Chinese medicine pills (dosage and composition is unknown) and plaster external treatment, but the results were not very effective. Half a month ago, the patient feel lumbar acid, pain exacerbated, with weakness of double lower limbs, activity limitations, urine is dark brown. Consulted doctor in the second affiliated hospital of Inner Mongolia medical university ,CT considered multiple myelomata, Chest 12/ waist 1 vertebral level spinal stenosis （Figure 1）. Figure 1 In order to further diagnosis and treatment, the patient is hospitalized in orthopedics. Since the onset, the patient a