胰腺囊性肿瘤的诊断及治疗研究进展:附6例病例报告

Advances in the diagnosis and treatment of pancreatic cystic neoplasms: a report of 6 cases

胰腺囊性肿瘤(pancreatic cystic neoplasms,PCN)主要包括浆液性囊腺瘤(serous cystic neoplasm,SCN)、黏液性囊腺瘤(mutinous cystic neoplasm,MCN)、导管内乳头状黏液性囊腺瘤(intraductal papillary mucinous neoplasm,IPMN)及实性假乳头状瘤(solid pseudopapillary neoplasm,SPN)等。近年来,随着影像学诊断技术的进展,CT与磁共振的广泛应用,胰腺囊性肿瘤的检出率较前有所提高,但尚不能完全准确区分其组织类型,也没有统一的治疗方案。影像学是PCNs鉴别诊断的主要依据。对于有明显症状、确诊或可疑恶性的PCNs,积极根治性手术治疗可提高大多数患者长期生存率。

Pancreatic cystic neoplasm is mainly divided into four types, serous cystic neoplasm（SCN）, mucinous cystic neoplasm（MCN）, intraductal papillary mucinous tumor（IPMN） and solid pseudopapillary neoplasm（SPN）. In recent years, due to the widespread use of computed tomography（CT） and magnetic resonance imaging（MRI）of the abdomen, the incidence of PCN is increasing; however, most of these lesions are difficult to make a correct classification. Imaging features of the cyst is the main evidence to identify the type of PCN. All the cystic tumors of pancreas, including those already got a clear diagnosis and small lesion with obvious symptoms, should be treated with surgery. The majority can get long—term survival with complete tumor resection.