Widmaier U, Mattfeldt T, Siech M, Beger H G
Department of General Surgery, University of Ulm, Germany.
Int J Pancreatol. 1996 Oct;20(2):135-9. doi: 10.1007/BF02825513.
The mucinous type of cystadenoma of the pancreas is known to have malignant potential, whereas the serous type is believed to be benign. Therefore, the therapeutic strategies for serous cystadenomas are less aggressive than in mucinous cystadenoma, where complete operative resection is the procedure of choice. A patient with a biopsy-proven serous cystadenocarcinoma with a lymph node metastasis is reported. Considering the reported case and a review of the literature, the origin of serous cystadenocarcinoma appears to be from cystadenoma lesions. Even if this development of cystadenocarcinoma in pre-existing serous cystadenoma lesions is a rare entity, a less aggressive treatment of this lesion should be avoided in favor of resection procedures because of the good chance of cure.
胰腺黏液性囊腺瘤已知具有恶变潜能，而浆液性囊腺瘤一般认为是良性的。因此，浆液性囊腺瘤的治疗策略不如黏液性囊腺瘤激进，黏液性囊腺瘤的首选治疗方法是完整手术切除。本文报道了1例经活检证实的浆液性囊腺癌伴淋巴结转移的患者。结合该病例报道及文献回顾，浆液性囊腺癌似乎起源于囊腺瘤病变。即使由先前存在的浆液性囊腺瘤病变发展为囊腺癌的情况较为罕见，但鉴于有治愈的良好机会，应避免对此类病变采取保守治疗，而应选择手术切除。
