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病例介绍患者,女,68岁。因“腹痛15年”于2014年5月22日入院。入院前1周体检,CT提示胰腺实质变薄,主胰管和副胰管明显扩张,其内壁不光整,考虑胰腺导管内乳头状瘤,慢性胰腺炎可能。血清肿瘤标志物CA199为7.8 U/m L,CA125为8.44 U/m L,其他辅助检查结果无明显异常。患者糖尿病史5年,口服阿卡波糖片+格列美脲,自诉空腹血糖7~10 mmol/L,三餐后2 h血糖控制在10~
Case description Patient, female, 68 years old. Because of “abdominal pain for 15 years” was admitted on May 22, 2014. A week before admission, physical examination, CT tips thinning of the pancreas, the main pancreatic duct and pancreatic duct significantly expanded, the wall is not only the whole, consider the pancreatic ductal papilloma, chronic pancreatitis may be. Serum tumor markers CA199 7.8 U / m L, CA125 was 8.44 U / m L, the other auxiliary examination showed no significant abnormalities. Patients with diabetes history of 5 years, oral acarbose tablets + glimepiride, self-prosecution fasting blood glucose 7 ~ 10 mmol / L, 2 h after three meals of blood glucose control in 10 ~