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作者报告了该院30年来经手术及病理证实的15例胰腺囊性肿瘤,男5例,女10例,其中囊腺瘤3例,囊腺瘤恶变3例,囊腺癌9例。肿瘤位于胰尾部8例,体尾部6例,胰头部1例。2例有肝转移,1例肿瘤浸润胃后壁。根治性切除10例,单纯肿瘤切除、肿瘤切除加肝转移瘤局部切除、囊腺癌内外引流、肿瘤活检各1例。术后死亡1例。随访12例,10例效果满意,2例囊腺癌行内外引流者术后6、9个月死亡。文中讨论了胰腺囊性肿瘤的病理特点、诊断、鉴别诊断及治疗。
The authors reported 15 cases of pancreatic cystic tumors confirmed by surgery and pathology in the hospital over the past 30 years. There were 5 males and 10 females, including 3 cases of cystadenoma, 3 cases of malignant cystadenoma, and 9 cases of cystadenocarcinoma. The tumors were located in the pancreatic tail in 8 cases, body and tail in 6 cases, and pancreatic head in 1 case. Two cases had liver metastases, and one tumor invaded the posterior wall of the stomach. Radical resection in 10 cases, simple tumor resection, tumor resection plus local resection of hepatic metastases, internal and external drainage of cystadenocarcinoma, tumor biopsy in 1 case. One patient died after surgery. Follow-up was performed in 12 patients. Satisfactory results were obtained in 10 patients. Two cases of internal and external drainage of cystadenocarcinoma died 6 or 9 months after surgery. This article discusses the pathological features, diagnosis, differential diagnosis and treatment of pancreatic cystic tumors.