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中华普通外科学文献(电子版) ›› 2026, Vol. 20 ›› Issue (02) : 125 -126. doi: 10.3877/cma.j.issn.1674-0793.2026.02.009

病例报告

三阴性乳腺癌术后胰腺占位误诊分析:原发性胰腺癌的诊断陷阱一例
何威, 赵松, 王亚文, 朱江, 张凯, 马榕()   
  1. 250012 济南,山东大学齐鲁医院乳腺外科
  • 收稿日期:2025-10-15 出版日期:2026-04-01
  • 通信作者: 马榕

Primary pancreatic cancer misdiagnosed as pancreatic metastasis from triple-negative breast cancer: A case report

Wei He, Song Zhao, Yawen Wang   

  • Received:2025-10-15 Published:2026-04-01
引用本文:

何威, 赵松, 王亚文, 朱江, 张凯, 马榕. 三阴性乳腺癌术后胰腺占位误诊分析:原发性胰腺癌的诊断陷阱一例[J/OL]. 中华普通外科学文献(电子版), 2026, 20(02): 125-126.

Wei He, Song Zhao, Yawen Wang. Primary pancreatic cancer misdiagnosed as pancreatic metastasis from triple-negative breast cancer: A case report[J/OL]. Chinese Archives of General Surgery(Electronic Edition), 2026, 20(02): 125-126.

图1 腹部增强CT A~C:2024年4月强化CT 平扫、动脉期、静脉期,可见胰头部大小约1.5 cm×1.4 cm的稍低密度灶,增强扫描低于胰腺密度,呈边缘渐进性强化;D~F:2025年8月强化CT 平扫、动脉期、静脉期,可见胰头部大小约3.7 cm×3.4 cm不规则略低密度,边缘模糊,与邻近肠管分界欠清,增强扫描呈渐进不均匀强化,内见片状低强化区
图2 苏木精-伊红染色(HE)染色和免疫组织化学结果A~H:第一次穿刺结果,依次为HE染色、CK20(-)、CDX2(个别细胞+)、GATA-3(+)、ER(-)、PR(-)、HER2(-)、Ki-67阳性率3%;I~P:第二次穿刺结果,依次为HE染色、CK20(部分细胞+)、CDX2(部分细胞+)、GATA-3(部分细胞弱+)、ER(-)、TRPS1(-)、Mammaglobin(-)、Ki-67阳性率5%。图中标尺为100μm
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