Hyde G L, Davis J B, McMillin R D, McMillin M
Am Surg. 1984 Apr;50(4):225-9.
Mucinous cystic neoplasms of the pancreas are rare. They have traditionally been classified as cystadenoma or cystadenocarcinoma. Over a 5-year period, and three operations, a patient initially diagnosed as having a cystadenoma of the pancreas was subsequently found at the time of definitive total pancreatectomy to have a cystadenocarcinoma. The recent literature suggests that there is not distinction between cystadenoma and cystadenocarcinoma, since these tumors have been shown to contain coexisting areas of malignant and benign epithelium in both types. The authors' experience with this patient demonstrates the necessity for thorough histologic sectioning of these tumors to document the presence of carcinoma, since all of these tumors should be regarded as potentially malignant neoplasms. Surgical therapy for these lesions should be total excision whenever feasible.
胰腺黏液性囊性肿瘤较为罕见。传统上，它们被归类为囊腺瘤或囊腺癌。在5年期间，该患者接受了三次手术，最初被诊断为胰腺囊腺瘤，最终在全胰切除术时发现为囊腺癌。最近的文献表明，囊腺瘤和囊腺癌之间并无区别，因为这两种肿瘤均已显示出恶性和良性上皮共存的区域。作者对该患者的治疗经验表明，对这些肿瘤进行全面的组织切片检查以记录癌的存在是必要的，因为所有这些肿瘤都应被视为潜在的恶性肿瘤。只要可行，对这些病变的手术治疗应进行完全切除。
