Sperti C, Pasquali C, Costantino V, Perasole A, Liessi G, Pedrazzoli S
Institute of Semeiotica Chirurgica, University of Padova, Italy.
Int J Pancreatol. 1995 Oct;18(2):161-7. doi: 10.1007/BF02785890.
Solitary true cysts of the pancreas are extremely rare: to date, only eight cases have been reported in the English literature, four of which had clinical significance. An additional three cases of solitary true cysts of the pancreas are presented. One patient was incidentally found at operation, performed for other disease, to have a cystic lesion in the body of the pancreas; the other two patients experienced abdominal pain and nausea. Abdominal US, CT, and MR showed a unilocular cyst in the body and tail of the pancreas. In both cases, preoperative diagnosis of pancreatic cystic neoplasm was made. Two patients underwent excision of the mass and one distal pancreatectomy. Analysis of the cyst fluid revealed high CA 19-9 levels in two and CA 125 levels in one case. All cysts were lined by cuboidal epithelium, without morphological alterations. Preoperative differential diagnosis with the most common cystic pancreatic lesions (inflammatory or neoplastic) is difficult.
迄今为止，英文文献中仅报道过8例，其中4例具有临床意义。本文另外报告3例胰腺孤立性真性囊肿。1例患者因其他疾病接受手术时偶然发现胰腺体部有一囊性病变；另外2例患者有腹痛和恶心症状。腹部超声、CT和磁共振成像显示胰腺体尾部有一单房囊肿。这2例术前均诊断为胰腺囊性肿瘤。2例患者接受了肿物切除术，1例接受了远端胰腺切除术。囊液分析显示，2例患者的糖类抗原19-9水平升高，1例患者的糖类抗原125水平升高。所有囊肿均内衬立方上皮，无形态学改变。术前与最常见的胰腺囊性病变（炎性或肿瘤性）进行鉴别诊断很困难。
