Ais G, Ortega M, Gandasegui F, Vázquez P, Manzanares J
Servicio de Cirugía General, Hospital General, Segovia.
Rev Esp Enferm Dig. 1992 Nov;82(5):363-5.
Cystic neoplasms of the pancreas are unusual varieties of pancreatic tumors. We herein report a new case presenting with atypical features, such as mental and electrolytic disturbances secondary to upper intestinal obstruction. We reviewed the literature, and discuss the differential diagnosis, the histopathological characteristics of prognostic value, and the therapeutic strategy. We conclude that these tumors should be included in the differential diagnosis of the upper intestinal obstructions, and emphasize the need to remove the lesion in all cases because of the difficulties of predicting the benign or malignant behaviour of these tumors before and during the surgical procedure.
胰腺囊性肿瘤是胰腺肿瘤中不常见的类型。我们在此报告一例具有非典型特征的新病例,例如继发于高位肠梗阻的精神和电解质紊乱。我们回顾了文献,并讨论了鉴别诊断、具有预后价值的组织病理学特征以及治疗策略。我们得出结论,这些肿瘤应纳入高位肠梗阻的鉴别诊断中,并强调由于在手术前和手术过程中难以预测这些肿瘤的良恶性行为,因此在所有病例中均需切除病变。