Hingrat J Y, Le Neel J C, Charles J F, Cousin C, Lenne Y
J Chir (Paris). 1980 Jun-Jul;117(6-7):369-75.
Basing their observations on 11 cases treated personally and 74 cases reported in the published literature, the authors use the histological findings and the course taken by the lesions to separate pancreatic cystadenomas into microcystic adenomas and mucinous cysts. Their classification as a single clinical entity is justified by their almost indentical symptoms : usually of large size and seen mainly in women. A more precise diagnosis requires the use of complementary examinations including ultrasonography, arteriography, and computed tomography. Microcystic adenomas occur throughout the gland and are always benign : mucinous cysts are found mainly in the head or tail regions and may become malignant. Histological examination of the whole lesion is necessary in order to recognize a primary malignant form, and radical excision is required. The risk of changes in any cystic lesion, therefore, implies that controlled excision should be employed rather than simple cystectomy.
基于他们亲自治疗的11例病例以及已发表文献中报道的74例病例，作者利用组织学检查结果和病变发展过程将胰腺囊腺瘤分为微囊性腺瘤和黏液性囊肿。它们作为单一临床实体的分类是合理的，因为它们的症状几乎相同：通常体积较大，主要见于女性。更精确的诊断需要使用包括超声检查、动脉造影和计算机断层扫描在内的辅助检查。微囊性腺瘤遍布整个腺体，且总是良性的；黏液性囊肿主要见于头部或尾部区域，可能会恶变。为了识别原发性恶性形式，对整个病变进行组织学检查是必要的，并且需要进行根治性切除。因此，任何囊性病变发生变化的风险意味着应采用控制性切除而非单纯的囊肿切除术。
