Didolkar M S, Holyoke E D
Surg Gynecol Obstet. 1975 Jun;140(6):925-8.
Five patients with cystadenoma of the pancreas were seen during a period of 22 years at this institute. This rare benign tumor occurred predominantly in middle age women, with the presenting symptoms of pain and an epigastric mass, but without a history suggestive of pancreatitis or abdominal trauma. Selective celiac and superior mesenteric antiography is helpful in establishing the diagnosis. If this cystic tumor is not recognized and adequately treated, the surgeon may miss the opportunity for cure. Cystadenoma should be suspected when a cystic mass arising from the body or tail of the pancreas is encountered without evidence of metastases. Although surgical extirpation is the preferable treatment, undue risks should not be undertaken because of the slow growth rate of this benign tumor. Due to the known association of this tumor with other malignant lesions, diabetes mellitus as well as multicystic tumors of the liver and kidneys, these patients should be thoroughtly investigated.
在本研究所的22年期间共诊治了5例胰腺囊腺瘤患者。这种罕见的良性肿瘤主要发生于中年女性，表现为疼痛和上腹部肿块，但无胰腺炎或腹部外伤史。选择性腹腔动脉造影和肠系膜上动脉造影有助于确诊。如果这种囊性肿瘤未被识别和得到充分治疗，外科医生可能会错过治愈的机会。当遇到起源于胰体或胰尾的囊性肿块且无转移证据时，应怀疑囊腺瘤。虽然手术切除是首选的治疗方法，但由于这种良性肿瘤生长缓慢，不应承担不必要的风险。由于已知这种肿瘤与其他恶性病变、糖尿病以及肝和肾的多囊性肿瘤有关，应对这些患者进行全面检查。
