胰腺粘液性囊性肿瘤的病理生物学特性  

Bio-pathologic Behavior of Mucinous Cystic Tumors of the Pancreas

作　　者：金晓龙[1] 丁长囡[1] 朱姝美[2] 

机构地区：[1]上海第二医科大学附属瑞金医院病理科,200025 [2]江苏省溧阳市中医院病理科,213300

出　　处：《外科理论与实践》1999年第2期109-111,共3页Journal of Surgery Concepts & Practice

摘　　要：研究胰腺粘液性囊性肿瘤的组织学类型及其生物学特性。方法:收集我院病理科1966～1997年全部胰腺粘液性囊性肿瘤的临床病理资料,按WHO组织学标准分型,并予随访。结果:295例胰腺上皮性肿瘤中有17例(5.7％)为胰腺粘液性囊性肿瘤;组织学呈良性者9例,交界性和恶性各4例。随访表明,良性者9例、交界性3例及恶性者1例手术后无瘤生存了2～30年;恶性者3例术后2年内死于复发,交界性1例术后10年死于肿瘤恶变、复发。结论:大多数(74.8％)胰腺粘液性囊性肿瘤属手术能治愈的良性肿瘤,WHO组织学分类有助于准确判断患者预后。To evaluate the bio-pathologic characteristics of mucinous cystic tumors of the pan-creas(MCTP). Methods: To analyze the clinical, pathologic, and follow-up data of all the cases ad-mitted during the period 1966-1997. Results: There were 17 cases of MCTP out of 295 cases of pancreas tumors 5.7%. According to the criteria of the New WHO Histologic Classification of Pancreas Ex-ocrine Tumors, the MCTP cases were divided into three varieties: (l)benign, 9 cases; (2)borderline; 4 cases; and (3)malignant, 4 cases. Follow-up data showed that 9 patients in group 1, 3 cases in group 2, and 1 case in group 3 survived without tumor recurrence after operation. One case of the borderline group died of tumor recurrence and malignant change 10 years after operation. Three patients of the malignant group died of tumor within 2 years after definite diagnosis. Conclusions: This study showed, most of MCTP(74.8%) were benign and curable tumors; the WHO criteria of histologic classification is useful in predicting the prognosis of MCTP.

关 键 词：粘液性囊性肿瘤 病理生物学 胰腺肿瘤 

分 类 号：R735.902[医药卫生—肿瘤]