Zimmer B, Brune I, Kohler B, Wegener K, Schönleben K, Riemann J F
Medizinische Klinik C, Klinikums der Stadt Ludwigshafen am Rhein.
Z Gastroenterol. 1994 Mar;32(3):165-9.
Recent advances in diagnostic imaging procedures offer the opportunity for detection of rare cystic neoplasms of the pancreas. Cystadenomas of the pancreas have been reported to represent 10% of cystic pancreatic lesions. Serous microcystic cystadenoma, megacystic mucinous and duct-ectatic mucinous cystadenoma were distinguished. While the serous cystadenoma is benign, in general the megacystic and the duct-ectatic mucinous cystadenoma have a significant malignant potential. With pancreatoscopy, a rather new endoscopic technique, five cases of mucinous megacystic cystadenoma were diagnosed preoperatively by macroscopic and microscopic means. In one case, development of malignant neoplasm was diagnosed, one patient did not undergo surgery because of her age. Three patients were operated (total pancreatectomy in one case, duodeno-hemipancreatectomy in two cases) and are without any further signs of recurrence and free of symptoms in a one year to four year clinical follow-up.
诊断成像技术的最新进展为检测胰腺罕见囊性肿瘤提供了机会。据报道，胰腺囊腺瘤占胰腺囊性病变的10%。区分了浆液性微囊性囊腺瘤、巨囊性黏液性和导管扩张性黏液性囊腺瘤。虽然浆液性囊腺瘤是良性的，但一般来说，巨囊性和导管扩张性黏液性囊腺瘤具有显著的恶性潜能。通过胰管镜检查（一种相当新的内镜技术），通过宏观和微观手段术前诊断出5例黏液性巨囊性囊腺瘤。其中1例诊断为恶性肿瘤，1例患者因年龄原因未接受手术。3例患者接受了手术（1例全胰切除术，2例十二指肠半胰切除术），在1至4年的临床随访中无任何复发迹象且无症状。
