Hoover E, Natesha R, Dao A, Adams C Z, Barnwell S
Meharry Medical College, Nashville, Tennessee.
Am J Surg. 1991 Sep;162(3):274-7. doi: 10.1016/0002-9610(91)90087-t.
Proliferative pancreatic cysts are subdivided into microcystic and mucinous cystadenomas. These rare, slow-growing, multilocular lesions usually remain localized for long periods of time, therefore frequently becoming rather sizeable before becoming symptomatic. Patients present with intermittent abdominal or back pain, nausea and vomiting, early satiety, and a palpable mass without a history of trauma or alcoholism. Computed tomographic scanning is the most useful laboratory test. The lesions are more often found in women, with the microcystic adenomas usually located in the head of the pancreas and the mucinous lesions in the pancreatic body or tail. At surgery, if it is at all possible, the lesions should be completely removed, even if it means performance of a Whipple procedure. This is particularly important for mucinous cysts because of their potential for malignant degeneration. Internal drainage or marsupialization procedures should not be done in these patients. The long-term results are excellent if the entire lesion is removed.
增殖性胰腺囊肿可细分为微囊性和黏液性囊腺瘤。这些罕见、生长缓慢的多房性病变通常长时间局限于局部，因此在出现症状之前常常变得相当大。患者表现为间歇性腹痛或背痛、恶心、呕吐、早饱感以及可触及的肿块，且无创伤或酗酒史。计算机断层扫描是最有用的实验室检查。这些病变在女性中更常见，微囊性腺瘤通常位于胰头，黏液性病变位于胰体或胰尾。手术时，只要有可能，应将病变完全切除，即使这意味着要进行惠普尔手术。对于黏液性囊肿而言，这一点尤为重要，因为它们有恶变的可能。这些患者不应进行内引流或袋形缝合术。如果整个病变被切除，长期效果极佳。
