Michelin T, Favre J P, Megharoui H, Rat P, Bernard A
Clinique chirurgicale universitaire, Centre Hospitalier Universitaire du Bocage, Dijon.
Presse Med. 1996 Apr 13;25(13):625-7.
We report two cases of mucinous pancreatic ductal ectasia including one which progressed to micro-invasive carcinoma. The frequency of this tumor may be under-estimated (24 cases reported in the literature) because of confusion with pseudocysts or mucinous cystadenoma. The diagnosis is made at retrograde cholangiopancreatography. Endosonography is useful for tumors in the head of the pancreas, the predominant localization. At present, there is no test which can distinguish malignant forms from benign mucinous ductal ectasia. Resection of the tumor and the surrounding pancreatitis is the only curative treatment known. Pancreatoduodenectomy may be discussed in elderly patients with a tumor without signs of malignancy.
我们报告了两例黏液性胰管扩张症，其中一例进展为微浸润癌。由于与假性囊肿或黏液性囊腺瘤混淆，该肿瘤的发病率可能被低估（文献报道24例）。诊断通过逆行胰胆管造影术做出。超声内镜检查对胰腺头部肿瘤（主要定位）很有用。目前，尚无检查能区分恶性形式与良性黏液性胰管扩张症。切除肿瘤及周围胰腺炎组织是唯一已知的治愈性治疗方法。对于无恶性征象的老年肿瘤患者，可考虑行胰十二指肠切除术。
