胰腺囊腺癌临床诊治分析  

Analysis on the clinical diagnosis and treatment of pancreatic cystadenocarcinoma

作　　者：董剑宏[1] 王瑞智[1] 席志宾[1] 党学义[1] 郭学文[1] 

机构地区：[1]山西省肿瘤医院普外科,太原030013

出　　处：《肿瘤研究与临床》2007年第3期190-191,共2页Cancer Research and Clinic

摘　　要：目的探讨胰腺囊腺癌的临床特点及疗效,提高胰腺囊腺癌的诊治水平。方法对1990年1月至2006年6月年收治的13例胰腺囊腺癌患者临床资料进行回顾性分析。结果术前诊断为胰腺囊腺癌6例,囊腺瘤2例,胰腺癌1例,胰腺假性囊肿4例,误诊率53.8%。13例全部手术:行根治性手术10例,术后随访5年仍生存者6例,其中1例已经无瘤生存11年;姑息手术3例,均于术后3年内死亡。结论胰腺囊腺癌临床表现缺乏特异性,术前诊断较为困难,根治性手术是最有效的治疗方法。Objective To study the clinical characteristics and curative effects of pancreatic cystade- nocarcinoma in order to improve its diagnostic and therapeutic accuracy.Methods A retrospective analysis was done on the clinical materials of 13 cases of pancreatic cystadenocarcinoma hospitalized in Shanxi Cancer Hospital from 1990 to 2006.Results The preoperative diagnosis were as follows:pancreatic cystadenocarci- noma 6 cases,pancreatic cystadenoma 2 cases,pancreatic cancer 1 case,pancreatic pseudocyst 4 cases.The misdiagnosis rate was 53.8 %.Surgical operation was done on the 13 cases,and 10 of them were treated by radical operation.A 5-year follow-up was done on 6 still alive cases,and 1 of them lived over 11 years.3 cases were treated by palliative operation,and all of them died within 3 years.Conclusion Since there is no specific clinical manifestations of pancreatic cystadenocarcinoma,it is very difficult to get an accurate preop- erative diagnosis.Radical operation is the most effective therapeutic methods.

关 键 词：胰腺肿瘤 囊腺癌 诊断 外科手术 

分 类 号：R735.9[医药卫生—肿瘤]