Maev I V, Kaziulin A N, Kucheriavyĭ Iu A
Eksp Klin Gastroenterol. 2008(7):88-92.
Data of the literature on the epidemiology, patogenesis, diagnosis, peculiarities of the symptoms and the treatment of the intraduct papillar pancreatic tumor, are analyzed in this review. These tumors are rare, there are up to 1% of the exocrine pancreatic tumors. Intraduct proliferation of the mucin producing cells, that are disposed as papillars is typical of these tumors. There are the symptoms of the acute or chronic pancreatitis, sometimes the diagnosis of this tumor is accidental. The main diagnostic methods are ultrasound (US) and computed tomography (CT). Endoluminal ultrasound (EUS) and magnetic resonance cholangiopancreatography (MRCP) are the main methods to reveal the intraduct growth. The surgical treatment is necessary for these patients.
本综述分析了有关导管内乳头状胰腺肿瘤的流行病学、发病机制、诊断、症状特点及治疗的文献数据。这些肿瘤较为罕见,占胰腺外分泌肿瘤的比例高达1%。这些肿瘤的典型特征是产生黏液的细胞呈乳头状排列并在导管内增生。患者会出现急性或慢性胰腺炎的症状,有时该肿瘤的诊断是偶然发现的。主要诊断方法是超声(US)和计算机断层扫描(CT)。腔内超声(EUS)和磁共振胰胆管造影(MRCP)是显示导管内生长的主要方法。这些患者需要进行手术治疗。