Hohmann U, Schramm H
Wald-Klinikum Gera gGmbH, Department für Allgemeine, Viszerale und Kinderchirurgie, Strasse des Friedens 122, 07548 Gera.
Zentralbl Chir. 2003 May;128(5):429-33. doi: 10.1055/s-2003-40044.
From 1984 to 2001, 486 operations were carried out at the surgical clinic in Gera for pancreatic neoplasms, including 49 patients with rare neoplasms of the pancreas. In 23 patients malignant pancreatic tumors were present (9 solitary metastases, 9 endocrine carcinomas, 2 cystadenocarcinomas, 2 schwannomas and one non-Hodgkin's lymphoma). In 28 benign lesions a resection of the tumor was performed, concerning 8 insulinomas, 8 serous cystadenomas, 3 mucinous cystadenomas and 4 rare cystic tumors. A sarcoidosis, an autoimmune pancreatitis and a radiation fibrosis were diagnosed in 3 patients operated under the suspicion of a malignant pancreatic tumor. By means of own case examples and data from the literature these rare entities are described with their diagnostic and therapeutic special features.
1984年至2001年期间， Gera的外科诊所针对胰腺肿瘤开展了486例手术，其中包括49例胰腺罕见肿瘤患者。23例患者存在恶性胰腺肿瘤（9例孤立性转移瘤、9例内分泌癌、2例囊腺癌、2例神经鞘瘤和1例非霍奇金淋巴瘤）。28例良性病变患者进行了肿瘤切除，包括8例胰岛素瘤、8例浆液性囊腺瘤、3例黏液性囊腺瘤和4例罕见囊性肿瘤。3例在怀疑为恶性胰腺肿瘤的情况下接受手术的患者被诊断为结节病、自身免疫性胰腺炎和放射性纤维化。通过自身病例及文献资料，对这些罕见疾病的诊断和治疗特点进行了描述。
