Nagel M, Dobrowolski F, Bunk A, Saeger H D
Klinik und Poliklinik für Viszeral-, Thorax- und Gefässchirurgie, Universitätsklinikum Carl Gustav Carus, Technische Universität Dresden.
Chirurg. 2000 Apr;71(4):424-8. doi: 10.1007/s001040050830.
Serous cystadenomas of the pancreas are rare tumors and thought to be almost always benign.
We report our experience in the diagnosis and surgical treatment of 12 patients with these tumors.
Between October 1993 and December 1998, 41 patients with cystic tumors of the pancreas underwent surgical resection; in 12 cases (11 women, 1 man) a serous cystadenoma (10 micro-cystic, 2 oligo-microcystic) was found. Only 6 (50%) patients had symptoms. The mean tumor size was 4.8 (2.7-10) cm. Ultrasound, CT and MRT usually could detect the mass, but differentiation with other cystic lesions was not reliable. All tumors were resected: 4 Whipple procedures, 7 distal pancreatectomies and 1 segmental resection were performed. No patient died after surgery and none had to be reoperated on.
Because of the difficulty in reliably differentiating benign and malignant lesions of the pancreas, we believe that cystic tumors of the pancreas should be resected.
胰腺浆液性囊腺瘤是罕见肿瘤，几乎一直被认为是良性的。
我们报告了12例此类肿瘤患者的诊断及手术治疗经验。
1993年10月至1998年12月期间，41例胰腺囊性肿瘤患者接受了手术切除；其中12例（11名女性，1名男性）为浆液性囊腺瘤（10例微囊性，2例少微囊性）。仅6例（50%）患者有症状。肿瘤平均大小为4.8（2.7 - 10）厘米。超声、CT和磁共振成像通常能检测到肿块，但与其他囊性病变的鉴别并不可靠。所有肿瘤均被切除：实施了4例惠普尔手术、7例胰体尾切除术和1例节段性切除术。术后无患者死亡，也无需再次手术。
由于难以可靠地区分胰腺的良性和恶性病变，我们认为胰腺囊性肿瘤应行切除。
