胰腺囊腺癌的诊断与鉴别(附7例报告)

Differential diagnosis of cystic carcinoma of the pancreas

  • 摘要: 胰腺囊腺癌是一种少见的胰腺恶性肿瘤约占1%。因病史较隐蔽,形态上容易和胰腺假性囊肿混淆,临床上常误诊。我们从1984年至1993年共收治7例胰腺囊性癌,其中4例粘液性囊腺癌和2例粘液性腺癌囊性变及1例管状腺癌伴囊性变。有2例粘液性囊腺瘤曾误当假性囊肿作囊肿内引流术,最后肿瘤恶变导致再次手术。另有1例以脾囊肿入院,胰腺囊腺癌的术前诊断较困难,对于胰腺的囊性病变要警惕此病。此外,强调粘液性囊腺瘤是癌前病变应和恶性肿瘤的治疗方法相同。

     

    Abstract: Pancreatic cystic neoplasms are very rare lesions that represent approximately 12% of all pancreatic cysts,Cystoadenocarcinoma is about 1% of all pancreatic carcinolna. From 1989 to 1993 we observed 7 patients with pancreatic cystic carcinoma;4 cystoadenocarciooma and 2 mucinousadenocarcinoma,1 adenocarci-noma. Two patients was mistaken for pseudocysts,one patietits for cyst of the spleen. Mucinouscystoadenoma is potential malignancy tumour,2 patients with cystoadenoma were mistaken by internal drainage and led to recurrence and metastasis.It is important problem to differentiate from pancreatic pseudocyst at preoperation.

     

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