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导管内乳头状黏液性肿瘤

Intraductal papillary mucinous neoplasia.

作者信息

McGrath Kevin M, Krasinskas Alyssa M, Federle Michael P

机构信息

Division of Gastroenterology, Hepatology and Nutrition, University of Pittsburgh Medical Center, M2, C-Wing, 200 Lothrop Street, Pittsburgh, PA 15213, USA.

出版信息

Gastroenterol Clin North Am. 2007 Jun;36(2):377-90, ix-x. doi: 10.1016/j.gtc.2007.03.016.

DOI:10.1016/j.gtc.2007.03.016
PMID:17533085
Abstract

Intraductal papillary mucinous neoplasia is a neoplastic disorder of varying degree and extent that affects the pancreatic ductal epithelium. Clinical presentations may vary from an asymptomatic incidental finding to obstructive jaundice. Harbingers of malignancy include symptoms of jaundice, weight loss, or new-onset diabetes. In the absence of findings that correlate with malignancy, natural history is unknown. Management of these patients is controversial, and should be individualized based on surgical risk.

摘要

导管内乳头状黏液性肿瘤是一种程度和范围各异的肿瘤性疾病,累及胰腺导管上皮。临床表现可能从无症状的偶然发现到梗阻性黄疸不等。恶性肿瘤的先兆包括黄疸、体重减轻或新发糖尿病等症状。在没有与恶性肿瘤相关的发现时,其自然病程尚不清楚。这些患者的治疗存在争议,应根据手术风险进行个体化处理。

相似文献

1
Intraductal papillary mucinous neoplasia.导管内乳头状黏液性肿瘤
Gastroenterol Clin North Am. 2007 Jun;36(2):377-90, ix-x. doi: 10.1016/j.gtc.2007.03.016.
2
Is the intraductal papillary mucinous neoplasia of the biliary tract a counterpart of pancreatic papillary mucinous neoplasm?胆管内乳头状黏液性肿瘤是胰腺乳头状黏液性肿瘤的对应物吗?
J Hepatol. 2006 Feb;44(2):249-50. doi: 10.1016/j.jhep.2005.11.035. Epub 2005 Dec 6.
3
Pancreaticoscopy with miniprobe-based confocal laser-scanning microscopy of an intraductal papillary mucinous neoplasm (with video).基于微型探头的共聚焦激光扫描显微镜对导管内乳头状黏液性肿瘤进行胰管镜检查(附视频)
Gastrointest Endosc. 2009 May;69(6):1178-80. doi: 10.1016/j.gie.2008.06.013. Epub 2009 Jan 18.
4
Development of ductal carcinoma of the pancreas during follow-up of branch duct intraductal papillary mucinous neoplasm of the pancreas.胰腺分支导管内乳头状黏液性肿瘤随访期间胰腺导管癌的发生
Gut. 2008 Nov;57(11):1561-5. doi: 10.1136/gut.2007.145631. Epub 2008 May 13.
5
[Intraductal papillary mucinous tumors of the pancreas. Clinical and morphological aspects in 30 patients].[胰腺导管内乳头状黏液性肿瘤。30例患者的临床及形态学特征]
Gastroenterol Clin Biol. 1997;21(4):278-86.
6
Preoperative predictors of malignancy in pancreatic intraductal papillary mucinous neoplasms.胰腺导管内乳头状黏液性肿瘤恶性的术前预测因素
Arch Surg. 2003 Jun;138(6):610-7; discussion 617-8. doi: 10.1001/archsurg.138.6.610.
7
Pancreatic duct lavage cytology for the diagnosis of branch duct-type intraductal papillary mucinous neoplasm of the pancreas.胰管灌洗细胞学检查用于诊断胰腺分支导管型导管内乳头状黏液性肿瘤
Pancreas. 2008 Mar;36(2):216-7. doi: 10.1097/01.MPA.0000311842.42807.07.
8
Pancreatic ductal adenocarcinomas in long-term follow-up patients with branch duct intraductal papillary mucinous neoplasms.长期随诊的分支胰管型胰管内乳头状黏液性肿瘤患者中的胰腺导管腺癌。
Pancreas. 2010 Jan;39(1):36-40. doi: 10.1097/MPA.0b013e3181b91cd0.
9
Morphologic changes in branch duct intraductal papillary mucinous neoplasms of the pancreas: a midterm follow-up study.胰腺分支导管内乳头状黏液性肿瘤的形态学变化:一项中期随访研究
Clin Gastroenterol Hepatol. 2008 Jul;6(7):807-14. doi: 10.1016/j.cgh.2007.12.021. Epub 2008 Mar 4.
10
PANDA cyst-fluid analysis: eats, shoots and leaves?熊猫囊肿液分析:吃了就走,还是留下了什么? (注:这里“eats, shoots and leaves”是利用了一个英文句子结构的歧义,原句字面意思是“吃、射击、离开”,实际是在调侃熊猫囊肿液分析可能存在的不严谨性,就像这个歧义句一样,翻译为中文也尽量保留这种诙谐感)
Gastrointest Endosc. 2009 May;69(6):1103-5. doi: 10.1016/j.gie.2008.10.034.

引用本文的文献

1
Screening for pancreatic cancer: current evidence and future directions.胰腺癌筛查:当前证据与未来方向。
Gastroenterol Hepatol (N Y). 2007 Dec;3(12):929-38.
2
Pancreatic neoplasia: a practical cross-sectional imaging primer for the nonradiologist.胰腺肿瘤:非放射科医生实用的横断面成像入门指南。
J Gastrointest Cancer. 2012 Jun;43(2):148-56. doi: 10.1007/s12029-010-9250-0.
3
Magnetic resonance pancreatography: comparison of two- and three-dimensional sequences for assessment of intraductal papillary mucinous neoplasm of the pancreas.
磁共振胰胆管造影:二维和三维序列在评估胰腺导管内乳头状黏液性肿瘤中的比较
Eur Radiol. 2009 Sep;19(9):2163-70. doi: 10.1007/s00330-009-1391-9. Epub 2009 Apr 18.