Chen Y, Lorenz E, Harnoss B M, Häring R
Chirurgische Klinik, Klinikum Steglitz, Freie Universität, Berlin Bundesrepublik Deutschland.
Zentralbl Chir. 1992;117(2):87-90.
Seven cases of cystadenomas and cystadenocarcinomas were presented and the treatment of the cystic tumours of the pancreas was discussed in a surgical point of view. Distinction between true cysts like cystadenomas and pseudocysts following pancreatitis is of paramount importance. The clinical findings are mostly uncharacteristic and determinated by the late symptoms. The diagnosis of cystic tumours can usually be made by radiological imaging technique. Intraoperative examination of the frozen-sections is of paramount importance for the choice of the surgical procedure and hence the prognosis of the patient. Radical surgery is indicated in case of cystadenoma or cystadenocarcinoma. Every mucinous cystic neoplasm should be completely examined in carefully lamillated sections in order to identify its malignancy.
本文报告了7例胰腺囊腺瘤和囊腺癌病例,并从外科角度探讨了胰腺囊性肿瘤的治疗方法。区分如囊腺瘤这样的真性囊肿与胰腺炎后的假性囊肿至关重要。临床症状大多无特异性,且由晚期症状决定。囊性肿瘤的诊断通常可通过放射影像学技术做出。术中冰冻切片检查对于手术方式的选择以及患者的预后至关重要。对于囊腺瘤或囊腺癌,应行根治性手术。每例黏液性囊性肿瘤均应在仔细分层切片中进行全面检查,以确定其恶性程度。