胰腺囊性肿瘤的临床特点及治疗策略

张家利; 葛春林

doi:10.3969/j.issn.1001-5256.2016.05.007

胰腺囊性肿瘤的临床特点及治疗策略

DOI: 10.3969/j.issn.1001-5256.2016.05.007

中国医科大学附属第一医院

基金项目:

辽宁省教育厅一般项目(L2014294)；沈阳市科技计划项目(F15-199-1-48)；

详细信息

中图分类号: R735.9
计量
- 文章访问数: 2126
- HTML全文浏览量: 18
- PDF下载量: 519
- 被引次数: 0
出版历程
- 收稿日期: 2015-10-21
- 出版日期: 2016-05-20

Clinical features of pancreatic cystic neoplasms and its therapeutic strategy

The First Affiliated Hospital of China Medical University

Research funding:

摘要

摘要: 随着影像学技术的提高,胰腺囊性肿瘤的诊断率明显提高,然而各种类型之间的鉴别诊断仍比较困难。对于胰腺囊性肿瘤的处理应根据患者的身体状况、肿瘤大小、在胰腺所处的位置、患者意愿等综合考虑,做到个体化治疗。虽然胰腺囊性肿瘤的手术病死率很低,但并发症发生率较高。因此,必须严格制订治疗方案。
- 胰腺囊肿 /
- 病理状态,体征和症状 /
- 诊断,鉴别 /
- 肿瘤治疗方案
Abstract: The detection rate of pancreatic cystic neoplasms obviously increases with the development of imaging technology. However,it is still difficult to make the differential diagnosis between different types of pancreatic cystic neoplasms. For pancreatic cystic neoplasms,the physical condition of the patient,tumor size,location,patient preference,and other potential factors should be considered to develop an individualized treatment. The incidence rate of complications is high,although the operative mortality of pancreatic cystic neoplasms is very low. Therefore,it is necessary to strictly make the treatment decision for pancreatic cystic neoplasms.
- pancreatic cyst /
- pathological conditions,signs and symptoms /
- diagnosis,differential /
- antineoplastic protocols

HTML全文

参考文献(18)

[1]BAI XL,ZHANG Q,MASOOD N,et al.Pancreatic cystic neoplasms:a review of preoperative diagnosis and management[J].J Zhejiang Univ Sci B,2013,14(3):185-194.

[2]TSENG JF,WARSHAW AL,SAHANI DV,et al.Serous cystadenoma of the pancreas:tumor growth rates and recommendations for treatment[J].Ann Surg,2005,242(3):413-419;discussion 419-421.

[3]GENG XP.Recent development in diagnosis and treatment of pancreatic cystic neoplasm[J].J Hepatobiliary Surg,2013,21(3):161-164.(in Chinese)耿小平.胰腺囊性肿瘤的诊治近况[J].肝胆外科杂志,2013,21(3):161-164.

[4]GOH BK,TAN YM,YAP WM,et al.Pancreatic serous oligocystic adenomas:clinicopathologic features and a comparison with serous microcystic adenomas and mucinous cystic neoplasms[J].World J Surg,2006,30(8):1553-1559.

[5]GALANIS C,ZAMANI A,CAMERON JL,et al.Resected serous cystic neoplasms of the pancreas:a review of 158 patients with recommendations for treatment[J].J Gastrointest Surg,2007,11(7):820-826.

[6]BRUGGE WR.Diagnosis and management of cystic lesions of the pancreas[J].J Gastrointest Oncol,2015,6(4):375-388.

[7]YOON WJ,BRUGGE WR.Pancreatic cystic neoplasms:diagnosis and management[J].Gastroenterol Clin North Am,2012,41(1):103-118.

[8]HAN KW,HA R,KIM KK,et al.Surgical management and results for cystic neoplasms of pancreas[J].Korean J Hepatobiliary Pancreat Surg,2013,17(3):118-125.

[9]MACHADO NO,AL QADHI H,AL WAHIBI K.Intraductal papillary mucinous neoplasm of pancreas[J].N Am J Med Sci,2015,7(5):160-175.

[10]CONLON KC.Intraductal papillary mucinous tumors of the pancreas[J].J Clin Oncol,2005,23(20):4518-4523.

[11]KADIYALA V,LEE LS.Endosonography in the diagnosis and management of pancreatic cysts[J].World J Gastrointest Endosc,2015,7(3):213-223.

[12]LEE HJ,KIM MJ,CHOI JY,et al.Relative accuracy of CT and MRI in the differentiation of benign from malignant pancreatic cystic lesions[J].Clin Radiol,2011,66(4):315-321.

[13]EFTHYMIOU A,PODAS T,ZACHARAKIS E.Endoscopic ultrasound in the diagnosis of pancreatic intraductal papillary mucinous neoplasms[J].World J Gastroenterol,2014,20(24):7785-7793.

[14]NG KH,TAN PH,THNG CH,et al.Solid pseudopapillary tumour of the pancreas[J].ANZ J Surg,2003,73(6):410-415.

[15]FARRELL JJ.Prevalence,diagnosis and management of pancreatic cystic neoplasms:current status and future directions[J].Gut Liver,2015,9(5):571-589.

[16]VALSANGKAR NP,MORALES-OYARVIDE V,THAYER SP,et al.851 resected cystic tumors of the pancreas:a 33-year experience at the Massachusetts General Hospital[J].Surgery,2012,152(3 Suppl 1):s4-s12.

[17]SUN B,JI L.The interpretation of American Gastroenterological Association Institute Guideline on the diagnosis and management of asymptomatic neoplastic pancreatic cysts(Version 2015)[J].Chin J Pract Surg,2015,35(5):515-518.(in Chinese)孙备,冀亮.2015年美国胃肠病学会《无症状性胰腺囊性肿瘤诊治指南》解读[J].中国实用外科杂志,2015,35(5):515-518.

[18]WILENTZ RE,ALBORES-SAAVEDRA J,ZAHURAK M,et al.Pathologic examination accurately predicts prognosis in mucinous cystic neoplasms of the pancreas[J].Am J Surg Pathol,1999,23(11):1320-1327.

施引文献

资源附件(0)

访问统计