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題名 | Cystadenoma and Cystadenocarcinoma of the Pancreas: Surgical Treatment and Prognosis=胰臟囊狀腺瘤及囊狀腺癌之外科治療及預後 |
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作者 | 魏達成; 魏柏立; 游憲章; 許書劍; Wei, Ta-cheng; Wei, Po-li; Yu, Sen-chang; Hsu, Shu-chien; |
期刊 | 中華民國外科醫學會雜誌 |
出版日期 | 19970500、19970600 |
卷期 | 30:3 民86.05-06 |
頁次 | 頁155-161 |
分類號 | 416.248 |
語文 | eng |
關鍵詞 | 胰臟囊狀腺瘤; 囊狀腺癌; 外科治療; Pancreas; Cystadenoma; Cystadenocarcinoma; Surgery; |
中文摘要 | 從1987到1994年,經外科治療的胰臟囊狀腫瘍共有十四病例。囊狀腺瘤 之切除率為71。在病理學上,兩位病人是漿液性的,而五位病人是黏腋性的囊狀 腺瘤。所有病人經手術後18到81個月仍然活著。囊狀腺癌之切除率為100。這些 囊狀腫瘍經由腹部超音波檢查及電腦斷層掃瞄檢查可懷疑7I的病人。兩位病人的 手術前診斷是偽性囊腫合併慢性胰臟炎。六位病人在手術後6到28個月之間死於 再發或轉移,僅有一位病人仍然活著,並且在84個月之後仍無再發或轉移。囊狀 腺瘤的平均直徑為7.8公分,而囊狀腺癌為8.6公分。手術死亡率都是0。術前要區 別良性或惡性的胰臟囊狀腫瘍仍然有困難。因為腫瘍常在進行期才會發現,所以 囊狀腺癌切除結果仍是不能滿意的。在大多數的病人,如懷疑有惡性腫瘍的囊狀 病灶,還是偏袒根除切除術。 |
英文摘要 | During the period 1987 to 1994, 14 patients with cystic neoplasms of the pancreas were surgically treated. The resection rate for cystadenoma was 71(5/7). Pathologically, two patients (29) had serous, and five (71) mucinous, cystadenoma. All patients are alive for 18 to 81 months after surgery.The resection rate of cystadenocarcinoma was 100 (7/7). Cystic neoplasmhad been suspected from the results of abdominal ultrasonography andcomputed tomography in 71 (5/7) of the patients. In two patients (29),the preoperative diagnosis of pseudocyst associated with chronic pancreatitis was made. Six patients (86) died of recurrent or metastatic carcinoma in 6 to 28 months after surgery, and only one patient (14) was alivewithout disease in 84 months. Mean tumor size was 7.3 cm in cystadenomaand 8.6 cm in cystadenocarcinoma. Both operative mortality rates were 0.It remains difficult to differentiate preoperatively between benign andmalignant cystic neoplasms of the pancreas. Because the tumor is oftenfound at an advanced stage, the results of resection of cystadenocarcinomaare not satisfactory. In most patients, radical resection of a cystic lesionsuspected to be neoplastic is favored. |
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