Löser C, Fölsch U R
I. Medizinische Klinik, Christian-Albrechts-Universität Kiel.
Bildgebung. 1991;58(4):177-81.
Cystadenoma and cystadenocarcinoma are rare tumors of the pancreas. While these cystic neoplasms neither present any typical clinical symptoms nor cause any specific changes in laboratory parameters, great emphasis is laid on imaging procedures for the diagnosis of these pancreatic tumors. Tumor size, localization and the typical cystic character are well-documented by ultrasound and contrast-enhanced computed tomography. Furthermore, CT could contribute to distinguish between serous and mucinous cystadenoma of the pancreas because of typical features of both tumors. Angiography presents a further suitable diagnostic method, while ERCP findings are rather unspecific and non-homogenous. Furthermore, ultrasound guided fine-needle biopsy should be carried out in unclear cases to confirm the diagnosis.
胰腺囊腺瘤和囊腺癌是胰腺的罕见肿瘤。这些囊性肿瘤既不表现出任何典型的临床症状,也不会引起实验室参数的任何特定变化,因此在这些胰腺肿瘤的诊断中,影像学检查至关重要。超声和增强计算机断层扫描能够很好地记录肿瘤大小、位置以及典型的囊性特征。此外,由于两种肿瘤的典型特征,CT有助于区分胰腺浆液性和黏液性囊腺瘤。血管造影是另一种合适的诊断方法,而ERCP的结果则相当不特异且不一致。此外,在诊断不明确的情况下,应进行超声引导下细针穿刺活检以确诊。