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罕见的非神经内分泌胰腺肿瘤

Rare Non-Neuroendocrine Pancreatic Tumours.

作者信息

Mormul Agata, Włoszek Emilia, Nowoszewska Julia, Fudalej Marta, Budzik Michał, Badowska-Kozakiewicz Anna, Deptała Andrzej

机构信息

Students' Scientific Organization of Cancer Cell Biology, Department of Oncology Propaedeutics, Medical University of Warsaw, 01-445 Warsaw, Poland.

Department of Oncology Propaedeutics, Medical University of Warsaw, 01-445 Warsaw, Poland.

出版信息

Cancers (Basel). 2023 Apr 9;15(8):2216. doi: 10.3390/cancers15082216.

Abstract

The most common tumour of the pancreas is ductal adenocarcinoma (PDAC). It remains one of the most lethal non-neuroendocrine solid tumours despite the use of a multi-approach strategy. Other, less-common neoplasms, which are responsible for 15% of pancreatic lesions, differ in treatment and prognosis. Due to the low incidence rate, there is a lack of information about the rarest pancreatic tumours. In this review, we described six rare pancreatic tumours: intraductal papillary mucinous neoplasm (IPMN), mucinous cystadenoma (MCN), serous cystic neoplasm (SCN), acinar cell carcinoma (ACC), solid pseudopapillary neoplasm (SPN) and pancreatoblastoma (PB). We distinguished their epidemiology, clinical and gross features, covered the newest reports about courses of treatment and systematised differential diagnoses. Although the most common pancreatic tumour, PDAC, has the highest malignant potential, it is still essential to properly classify and differentiate less-common lesions. It is vital to continue the search for new biomarkers, genetic mutations and the development of more specific biochemical tests for determining malignancy in rare pancreatic neoplasms.

摘要

胰腺最常见的肿瘤是导管腺癌(PDAC)。尽管采用了多方法策略,但它仍然是最致命的非神经内分泌实体肿瘤之一。其他不太常见的肿瘤占胰腺病变的15%,其治疗和预后有所不同。由于发病率低,关于最罕见胰腺肿瘤的信息匮乏。在本综述中,我们描述了六种罕见的胰腺肿瘤:导管内乳头状黏液性肿瘤(IPMN)、黏液性囊腺瘤(MCN)、浆液性囊性肿瘤(SCN)、腺泡细胞癌(ACC)、实性假乳头状肿瘤(SPN)和胰腺母细胞瘤(PB)。我们区分了它们的流行病学、临床和大体特征,涵盖了关于治疗过程的最新报告并系统化了鉴别诊断。尽管最常见的胰腺肿瘤PDAC具有最高的恶性潜能,但正确分类和鉴别不太常见的病变仍然至关重要。继续寻找新的生物标志物、基因突变以及开发更具特异性的生化检测方法以确定罕见胰腺肿瘤的恶性程度至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b2b/10136980/1f3c599a7503/cancers-15-02216-g001.jpg

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