期刊文献+

胰腺囊性肿瘤的诊治研究 被引量:2

The diagnosis and treatment of cystic pancreatic tumors
原文传递
导出
摘要 目的初步探讨胰腺囊性肿瘤的诊治策略。方法回顾性分析我院近十年来收治的21例胰腺囊性肿瘤的病例资料。结果21例胰腺囊性肿瘤患者中胰腺浆液性囊腺瘤11例,黏液性囊腺瘤6例,胰腺导管内乳头状黏液性肿瘤2例,胰腺实性假乳头状瘤2例;其中仅7例患者伴有相应的症状和体征,其他均为健康体检时所发现。所有患者均经手术治疗,其中8例行胰十二指肠切除术、5例行胰体尾切除术、1例行腹腔镜下胰尾切除术、2例行胰腺肿瘤摘除术、4例行胰腺节段切除术;1例囊腺癌患者仅可行姑息手术,其余20例患者随访11~96个月,均未出现肿瘤复发或转移。结论任何影像学检查都不能准确判断胰腺囊性肿瘤的具体病理类型;及时手术探查是防止肿瘤癌变的重要手段,除了已经获得明确诊断、肿瘤较小且无明显症状的浆液性囊腺瘤之外,都应该积极手术治疗。 Objective To explore the diagnosis and treatment of cystic pancreatic tumors. Methods The clinical data of 21 cases with cystic pancreatic tumors were retrospectively analyzed. Results This group enrolled 21 cases including serous cystic neoplasm of the pancreas (SCN, 11 cases), mucinous cystic neoplasm of the pancreas (MCN, 6 cases ), intraductal papillary mucinous neoplasms (IPMN,2 cases), solid pesudopapillary tumor of the pancreas (SPTP, 2 cases). Seven cases had certain symptoms or typical signs, while others were asymptomatic and tumors were found by regular physical examinations. All of the cases were diagnosed by CT scans, and the value of serum tumor markers was within normal range. Twenty patients underwent pancreatic tumor resections and there was no perioperative death. Pancreaticoduodenectomy was performed in 8 cases, and distal pancreatectomy was performed in 6 cases including 1 patient undergoing laparoscopic distal pancreatectomy. Middle segment resection was performed in 4 cases, and tumor enucleation was performed in 2 cases. These 20 patients were followed up for 11 to 96 months, and there was no tumor recurrence or metastasis. One patient with mucinous cystic carcinoma underwent palliative operation and survived 4 months after surgery. Conclusions Preoperative imaging was not able to confirm the definite tumor pathological category. Laparotomy should be performed in a patient with cystic pancreatic tumor. The selection of surgical approach should be individualized, and the laparoscopic operation is an alternative.
出处 《中华普通外科杂志》 CSCD 北大核心 2009年第8期609-612,共4页 Chinese Journal of General Surgery
基金 广东省自然科学基金(7001209) 广东省科技计划项目(20078060401034)
关键词 胰腺肿瘤 胰腺切除术 诊断 治疗 Pancreatic neoplasms Pancreatectomy Diagnosis Treatment
  • 相关文献

参考文献13

二级参考文献67

共引文献113

同被引文献19

  • 1葛春林,郭克建,罗晓光,涂巍,郭仁宣,田雨霖.38例胰腺囊性肿瘤的临床诊断及外科治疗[J].中华普通外科杂志,2006,21(4):235-238. 被引量:16
  • 2王铮,马清涌,刘青光,姚英民.胰腺囊实性假乳头状肿瘤9例临床分析并文献复习[J].癌症,2006,25(10):1287-1290. 被引量:3
  • 3熊炯圻,王春友,陶京,张树华.保留十二指肠胰头切除术的适应证及术式选择:附22例报告[J].中华外科杂志,2007,45(1):24-26. 被引量:23
  • 4Siech M,Mattfeldt T,Schlosser W,et al.Duodenum-preserving pancreatic head resection in patients with benign and borderline tumors of the pancreatic head.Langenbecks Arch Surg,2000,385(3):229-233.
  • 5Allen PJ,D'Angelica M,Gonen M,et al.A selective approach to the resection of cystic lesions of the pancreas:results from 539 consecutive patients.Ann Surg,2006,244(4):572-582.
  • 6Martin RC,Klimstra DS,Brennan MF,et al.Solid-pseudopapillary tumor of the pancreas:a surgical enigma? Ann Surg Oncol,2002,9(1):35-40.
  • 7金震东,王东,李兆申,邹多武,湛先保,陈洁,许国铭.内镜超声引导下细针穿刺活检对胰腺占位性病变的诊断价值[J].中华消化内镜杂志,2007,24(5):326-330. 被引量:20
  • 8Allen PJ,Brennan MF. The management of cystic lesions of the pancreas[J].Advances in Surgery,2007.211-228.doi:10.1016/j.yasu.2007.05.014.
  • 9Gourgiotis S,Germanos S,Ridolfini MP. Presentation and management of pancreatic cystic neoplasms[J].Journal of Clinical Gastroenterology,2007,(06):599-608.doi:10.1097/01.mcg.0000225684.29841.52.
  • 10Pausawasdi N,Heidt D,Kwon R. Long-term follow-up of patients with incidentally discovered pancreatic cystic neoplasms evaluated by endoscopic ultrasound[J].Surgery,2010,(01):13-20.doi:10.1016/j.surg.2009.05.014.

引证文献2

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部