Aletras H, Katsochis C, Papageorgiou A, Papapolychroniadis C
1. Propedeutische Chirurgische Universitätsklinik, AHEPA-Hospital, Thessaloniki.
Chirurg. 1996 Aug;67(8):858-61. doi: 10.1007/pl00002531.
A 26-year-old woman was operated on because of a suspected infectious pseudocyst of the pancreas. A large cyst was found on the body of the pancreas. During laparotomy a biopsy specimen was taken from the cystic wall, but no evidence of a tumor was obtained. On the basis of these intraoperative findings, a cystogastrostomy was performed and the patient had an uneventful postoperative course. The patient presented 8 years later with a recurrent cyst and was operated. As there was a suspicion of a cystic neoplasm, total resection of the cyst was performed. Based on the histological findings a noninvasive mucinous cystadenocarcinoma of the pancreas was diagnosed. We believe that from the beginning this cyst was a noninvasive mucinous cystadenocarcinoma. Following the complete resection the clinical course was favorable for 8 more years without evidence of recurrence or metastases.
一名26岁女性因疑似胰腺感染性假性囊肿接受手术。在胰腺体部发现一个大囊肿。剖腹手术时从囊肿壁取了活检标本，但未发现肿瘤迹象。基于这些术中发现，进行了囊肿胃吻合术，患者术后恢复顺利。8年后患者因囊肿复发再次接受手术。由于怀疑是囊性肿瘤，遂对囊肿进行了全切。根据组织学检查结果，诊断为胰腺非侵袭性黏液性囊腺癌。我们认为这个囊肿从一开始就是非侵袭性黏液性囊腺癌。完整切除后，临床过程在接下来的8年里良好，无复发或转移迹象。
