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胰高血糖素瘤综合症的理想治疗方法是在肿瘤转移前行手术切除。遗憾的是,大约70％的患者在诊断时已有转移。对于复发和转移的患者,也应考虑外科手术以减轻临床表现。对不能切除的患者,可采用单一或联合化疗。处理这类患者十分困难,因为患者或早或晚对化疗可能失去反应,而且,化疗的毒性也较高。本文提出一条通过动脉栓塞治疗胰高血糖素瘤肝转移并取得良好效果的经验。
The ideal treatment for glucagonoma syndrome is surgical resection before tumor metastasis. Unfortunately, about 70% of patients have already transferred at the time of diagnosis. For relapsed and metastatic patients, surgery should also be considered to reduce clinical manifestations. For unresectable patients, single or combination chemotherapy may be used. It is very difficult to deal with such patients, because patients may lose response to chemotherapy early or late, and the toxicity of chemotherapy is also high. This article presents an experience with the use of arterial embolization to treat liver metastases of glucagonoma and achieve good results.