Hermoso J C, Rosado R, Ramírez D, Ruiz J J
Rev Esp Enferm Apar Dig. 1989 Jun;75(6 Pt 2):699-702.
Pancreatic cystadenomas are rare neoplasms that represent 10% of all benign cystic lesions of the gland. Their biological features are not clearly delimited from cystadenocarcinoma, which has a similar aspect, making exhaustive histological study necessary after exeresis. A case is presented of mucinous cystadenoma of the body-tail of the pancreas that debuted as a painful abdominal mass in a patient with a history of acute pancreatitis, simulating a pseudocyst. It was diagnosed by imaging techniques (ECHO, CAT) and later needle cytology and peroperative cystography. Treatment was corporocaudad pancreatectomy. Criteria of differential diagnosis with other benign and malignant cystic lesions of the pancreas are discussed. Present trends in surgical treatment are described and the literature is reviewed.
胰腺囊腺瘤是一种罕见的肿瘤,占胰腺所有良性囊性病变的10%。其生物学特征与囊腺癌并无明确界定,二者外观相似,因此切除术后进行详尽的组织学研究很有必要。本文介绍了一例胰腺体尾部黏液性囊腺瘤病例,该患者有急性胰腺炎病史,最初表现为疼痛性腹部肿块,类似假性囊肿。通过影像学技术(超声、计算机断层扫描)、穿刺细胞学检查及术中囊肿造影确诊。治疗方式为胰体尾切除术。文中讨论了与胰腺其他良性和恶性囊性病变的鉴别诊断标准。描述了当前手术治疗的趋势并对文献进行了综述。