Machado M C, Montagnini A L, Machado M A, Falzoni R, Volpe P, Jukemura J, Abdo E E, Penteado S, Bacchella T, Monteiro-Cunha J E
Disciplina de Cirurgia do Aparelho Digestivo, Faculdade de Medicina, Universidade de São Paulo.
Rev Hosp Clin Fac Med Sao Paulo. 1994 Nov-Dec;49(6):246-9.
The majority of cystic lesions of the pancreas are pseudocysts. Nine to thirteen per cent of pancreatic cyst are neoplastic, benign or malignant. Failure to recognize neoplastic nature of a cyst leads to an improper management. The authors present five cases of cystic tumors mistaken for pancreatic pseudocysts, including three mucinous cystadenomas and two mucinous cystadenocarcinomas. Four were drained by cystojejunostomy and one cystogastrostomy. One patient with no metastases at first operation had metastatic spread at reoperation. In the other four cases, subsequent resection was possible and probably curative. Review of the literature and guidelines are given for the purpose of differential diagnosis between theses entities.
胰腺的大多数囊性病变为假性囊肿。胰腺囊肿的9%至13%为肿瘤性，包括良性或恶性。未能识别囊肿的肿瘤性质会导致处理不当。作者介绍了5例被误诊为胰腺假性囊肿的囊性肿瘤病例，其中包括3例黏液性囊腺瘤和2例黏液性囊腺癌。4例行囊肿空肠吻合术，1例行囊肿胃吻合术。1例患者首次手术时无转移，但再次手术时出现转移扩散。在其他4例中，随后可行切除手术，且可能治愈。为了对这些病变进行鉴别诊断，对文献和指南进行了综述。
