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題名 | Solid-cystic Tumor of the Pancreas: Report of 2 Cases=合併實心與囊狀的胰臟腫瘤--2病例報告 |
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作者 | 林裕鴻; 王俊雄; 牟聯瑞; 林逸文; | 書刊名 | 秀傳醫學雜誌 |
卷期 | 2:2 2000.04[民89.04] |
頁次 | 頁81-84 |
分類號 | 415.549 |
關鍵詞 | 合併實心與囊狀腫瘤; 胰臟; Solid-cystic tumor; Pancreas; |
語文 | 英文(English) |
中文摘要 | 胰臟合併實心與囊狀腫瘤好發於年輕女性,為罕見的低惡性腫瘤。雖然 局部侵犯及包膜浸潤可見,卻少有遠處轉移。此腫瘤預後佳,巨大的腫瘤為發現 之特徵,手術切除為根本的治療方法。病理診斷易與非功能性胰島細胞腫瘤、囊 腺瘤及囊腺癌產生混淆。我們報告2病例,著重於放射影像及病理特徵的描述;此 腫瘤包含乳突,但不形成樑狀和微腺胞。其細胞經常繞著小微血管排列成類玫瑰 狀,電腦斷層顯示此胰臟腫瘤可能是實心的、囊狀的、或二者兼具;其中1例有 周邊鈣化。組織學上,腫瘤有乳突狀表徵,並有出血及壞死區域,術前的正確診 斷對頂後的幫助很大。 |
英文摘要 | The solid-cystic tumor of the pancreas is an uncommon, low-grade malignanttumor occurring exclusively in young women. It is known to have a good prognosis,though local invasion and infiltration of the pancreatic capsule may occur and distantmetastasis is uncommon. The tumor is usually large at the time of presentation, andsurgical excision is the treatment of choice. Pathological misdiagnosis as nonfunctional islet cell tumor, cystadenoma, or cystadenocarcinoma is fairly common. We report 2cases of such a tumor, focusing on the radiologic findings with the pathologic correlation. Pathologically the tumor cells were arranged around tiny vessels aspseudorosettes formation. By computed tomography the tumor depicted a welldemarcated mass, mixed cystic and solid or largely cystic. For I of them, the tumorcontained rim calcification. The preoperative correct diagnosis of such tumors isimportant because the prognosis after complete resection is good. |
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