Moret S, Moser G, Rohner A
Schweiz Med Wochenschr. 1981 May 30;111(22):811-3.
Benign or malignant cystadenoma of the pancreas is a rare but not exceptional tumor. Up to present, 300 of the former and 100 of the latter have been reported in the world literature. Three personal observations are reported, comprising 2 benign cystadenomas, the first discovered on abdominal palpation and the second after massive bleeding of gastric varices and thrombosis of the splenic vein. After removal of the tumor both patients were alive 20 and 7 1/2 years later respectively. Total excision of a cystadenocarcinoma in a third case required 90% pancreatectomy with ensuing diabetes. A review of the literature shows that total excision of a cystadenocarcinoma is always justified since the survival rate approximates 70%. This contrasts singularly with the catastrophic prognosis of pancreatic adenocarcinoma.
胰腺良性或恶性囊腺瘤是一种罕见但并非罕见的肿瘤。迄今为止，世界文献中已报道了300例前者和100例后者。报告了3例个人观察病例，包括2例良性囊腺瘤，第一例通过腹部触诊发现，第二例在胃静脉曲张大出血和脾静脉血栓形成后发现。切除肿瘤后，两名患者分别在20年和7年半后仍存活。第三例囊腺癌的全切除需要进行90%的胰腺切除术，随后出现糖尿病。文献回顾表明，囊腺癌的全切除总是合理的，因为生存率约为70%。这与胰腺腺癌的灾难性预后形成了鲜明对比。
