胰腺粘液性囊腺癌(MCAC)诊治探讨  

Study on the Diagnosis and Treatment of Mucous Cystadenocarcinoma of the Pancreas

作　　者：江滨[1] 卞建民[1] 时开网[1] 井清源[1] 

机构地区：[1]南京医科大学附属南京第一医院普外科,南京210006

出　　处：《中国误诊学杂志》2002年第1期18-19,共2页Chinese Journal of Misdiagnostics

摘　　要：目的　探讨胰腺粘液性囊腺癌的诊治。方法　分析 3例 MCAC患者资料。结果　 2例由于误诊为胰腺囊肿 ,术后均死亡 ,1例由于确诊 ,及时手术而存活。结论　胰腺粘液性囊腺癌无典型症状 ,与良性胰腺囊性病变区分困难 ,影像学与血清学检查无特异性 ,囊肿穿刺常引起严重并发症并导致肿瘤细胞种植 ,因此对胰腺囊腺瘤应尽早手术。Objective To discuss the diagnosis and treatment of mucous cystadenocarcinoma of the pancreas.Methods Data of 3 patients with MCAC were reviewed.Results 2 patients died after operations due to misdiagnosed as pancreatic cyst and 1 patients survived after operation thanks to correct diagnosis and timely operation.Conclusion No typical symptoms had been found so far with,and it was very difficult to distinguish mucous cystadenocarcinoma of the pancreas from benign pancreatic cyst .Neither serological nor imaging tests were not special and centesis of cyst fluid was dangerous(debatable)because of the risks of tumor cell seeding and serious complication.Therefore,timely operation should be taken to deal with MCAC.

关 键 词：胰腺肿瘤 诊断 治疗 囊腺癌 MCAC 

分 类 号：R735.9[医药卫生—肿瘤]