胰岛APUD肿瘤的诊断和治疗(附17例报告)  

Diagnosis and treatment of apudoma of pancreatic islet

作　　者：刘奇璧[1] 孙义国[1] 林建灿[1] 顾维正[2] 徐端衡 

机构地区：[1]浙江医科大学附属第一医院普外科 [2]浙江医科大学附属第一医院内分泌

出　　处：《实用肿瘤杂志》1990年第4期205-208,共4页Journal of Practical Oncology

摘　　要：胰岛APUD肿瘤常称胰岛细胞瘤或胰腺内分泌肿瘤。临床少见,病情复杂,常致误诊。我院1968～1989年收治17例,计胰岛素瘤14例,舒血管肠肽瘤1例,无功能胰岛细胞瘤2例。除1例胰岛素瘤外,均经手术和病理检查证实,现报道如下。临床资料一、性别和年龄男9例,女8例;年龄为15～69岁,平均45岁。This paper describes our experience in the diagnosis and treatment of 17 cases of apudoma of the pancreatic islet in recent 20 years, including insulinoma (14 cases), vipoma (1 cases), nonfunc- tioning tumor (2 cases) of the pancreatic islet cells. Detailed history-taking, relevent laboratory examination, accurate localization and meticulous and thorough operative exploration are of par- amount importance in successful operations. Whipple's triad provides an essential basis for the diagnosis of insulinoma; while in cases with atypical symptoms,the evidence of I/G>0.3 is neces- sitated. SAG or PTPC should be resorted to in the diagnosis of possible tumors of unknown locality or multiplicity. Blind pancreatectomy is unadvisable,unless the presence of diffuse hyper- plasis of the pancreatic islets pathologically confirmed.

关 键 词：胰岛APUD肿瘤 诊断 胰岛肿瘤 

分 类 号：R736.7[医药卫生—肿瘤]