胰腺囊腺瘤的诊疗进展  

Diagnosis and treatment of pancreatic cystadenoma

作　　者：赵云云[1,2] 柴宁莉[2] 冯秀雪[2] 令狐恩强[2] Zhao Yunyun;Chai Ningli;Feng Xiuxue;Linghu Enqiang(Chinese PLA Medical School,Beijing 100853,China;Department of Gastroenterology,The First Medical Center of PLA General Hospital,Beijing 100853,China)

机构地区：[1]解放军总医院解放军医学院,北京100853 [2]解放军总医院第一医学中心消化内科,北京100853

出　　处：《中华胃肠内镜电子杂志》2024年第4期263-267,共5页Chinese Journal of Gastrointestinal Endoscopy(Electronic Edition)

摘　　要：由于腹部横断面成像的普遍使用,胰腺囊性肿瘤(PCN)的发现率越来越高。PCN代表一组异质性肿瘤,具有不同的生物学行为和进展为恶性肿瘤的不同风险。常见的PCN包括浆液性囊腺瘤(SCN)和黏液性囊腺瘤(MCN)和导管内乳头状黏液瘤,其中SCN和MCN统称为胰腺囊腺瘤。SCN和MCN的恶化风险不同,从而导致它们在治疗方面也会有较大的区别。胰腺囊腺瘤诊断需要多模式诊断方法,包括放射学、超声内镜及细针穿刺、小活检钳、囊液分析和新的分子诊断等。本文将结合近些年的研究进展讨论胰腺囊腺瘤的最新诊断与治疗情况。Due to the increased use of abdominal cross-sectional imaging,the detection rate of pancreaticcysticneoplasm(PCN)is increasing.PCN represent a heterogeneous group of tumors with different biological behaviors and different risks of progression to malignancy.Common PCN include serous cystic neoplasm(SCN),mucinous cystic neoplasm(MCN)and intraductal papillary mucinous neoplasm,of which SCN and MCN are collectively referred to as pancreatic cystadenoma.SCN and MCN have different risk of progression,which leads to significant differences in their treatment.The diagnosis of pancreatic cystadenoma requires multi-modal diagnostic methods,including radiology,endoscopic ultrasonography and fine needle puncture,small biopsy forceps,cyst fluid analysis,and novel molecular diagnosis.This review will discuss the latest diagnosis and treatment of pancreatic cystadenoma in the light of recent research progress.

关 键 词：浆液性囊腺瘤 黏液性囊腺瘤 诊断 管理 胰腺囊性疾病 

分 类 号：R735.9[医药卫生—肿瘤]