胰管内乳头状黏液瘤的临床研究  

Clinical research on intraductal papillary-mucinous tumor of the pancreas

作　　者：李兆申[1] 刘枫[1] 许国铭[1] 

机构地区：[1]第二军医大学长海医院消化内科,胰腺疾病研究所,上海200433

出　　处：《中华消化杂志》2001年第11期665-668,共4页Chinese Journal of Digestion

摘　　要：目的　通过探讨胰管内乳头状黏液瘤 (IPMT)的临床、逆行胰胆管造影 (ERCP)表现及病理特征 ,提高对IPMT的认识。方法　对 9例IPMT患者的临床、影像学表现及病理资料作回顾性分析。结果　 9例中男女之比为 2∶1,年龄为 37～ 76岁 ,平均 6 8.4岁。上腹痛为最常见症状。肿瘤主要位于胰头部。ERCP可见十二指肠乳头肿大开口扩大 ,见大量黏液流出及主胰管扩张。病理表现多样性 ,可表现为腺瘤或腺癌。结论　IMPT是胰腺肿瘤的一种 ,其预后较一般的胰腺癌好 。Objective To investigate the clinical, rad iographic and pathological features of intraductal papillary-mucinous tumor of the pancreas(IPMT). Methods The features, imaging manifestation and pathological find ings of 9 patients with IPMT were reviewed. Results There were 6 male and 3 female in this series with ag e ra nging from 37 to 76 years(average 68.4 years). The common complaint was upper ab dominal pain. Most of the tumors located at the head of pancreas. The feature of ERCP findings include dilation of the orifice of the papilla of Vater, swelling of the papilla of Vater, massive mucin production and dilation of main pancreat ic duct. The pathological finding is adenoma or adenocarcinoma. Conclusions IPMT is a kind of pancreatic tumor and its prognosis i s better than pancreatic duct cancer. We should differentiate IPMT from other pa ncreatic tumors.

关 键 词：胰管内乳头状黏液瘤 胰腺肿瘤 影像学表现 病理特征 肿瘤切除 

分 类 号：R735.9[医药卫生—肿瘤]