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[胰腺囊性肿瘤]

[Cystic tumors of the pancreas].

作者信息

Zanow J, Gellert K, Benhidjeb T, Müller J M

机构信息

Klinik und Poliklinik für Chirurgie, Klinikum Charité der Humboldt- Universität Berlin.

出版信息

Chirurg. 1996 Jul;67(7):719-24.

PMID:8776544
Abstract

Cystic neoplasms of the pancreas are rare but in the last years more frequently detected. Within a 10-year-period we treated 30 patients, including 8 serous cystadenomas, 6 mucinous cystadenomas, 12 mucinous cystadenocarcinomas, 2 cystic neuro-endocrine tumors and 1 papillary cystic tumor respectively acinar cell cyst-adenocarcinoma. 80% of the patients had symptoms, experienced abdominal pain, weight loss, weakness or abdominal mass. In eight patients the tumors had been misdiagnosed as a pancreatic pseudocyst. The correct type of cystic tumor was diagnosed by preoperative investigations only a few cases. All patients with serous or mucinous cystadenomas are well and without evident recurrence after resection of the tumor. However the survival time of malignant cystic tumors varied strongly. The curative resection of these tumors give patients the chance of long-term survival.

摘要

胰腺囊性肿瘤较为罕见,但近年来检出率越来越高。在10年期间,我们共治疗了30例患者,其中包括8例浆液性囊腺瘤、6例黏液性囊腺瘤、12例黏液性囊腺癌、2例囊性神经内分泌肿瘤和1例腺泡细胞囊腺癌乳头状囊性肿瘤。80%的患者有症状,表现为腹痛、体重减轻、乏力或腹部肿块。8例患者的肿瘤曾被误诊为胰腺假性囊肿。只有少数病例通过术前检查确诊了正确的囊性肿瘤类型。所有浆液性或黏液性囊腺瘤患者术后恢复良好,无明显复发。然而,恶性囊性肿瘤的生存时间差异很大。这些肿瘤的根治性切除为患者提供了长期生存的机会。

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