Pancreatic pseudocyst or a cystic tumor of the pancreas?

查看全文 作　　者：Mohammad Ezzedien [1]Rabie;Ismail El [1]Hakeem;Mohammad Saad Al [1]Skaini;Ahmad El [2]Hadad;Salim [3]Jamil;Mian Tahir [1]Shah;Mahmoud [1]Obaid

机构地区：[1]Department of Surgery,Armed Forces Hospital-Southern Region;[2]Department of Radiology,Armed Forces Hospital-Southern Region;[3]Department of Pathology,Armed Forces Hospital-Southern Region

出　　处：《Chinese Journal of Cancer》索引2014年第33卷第2期,共9页

摘　　要：Pancreatic pseudocysts are the most common cystic lesions of the pancreas and may complicate acute pancreatitis, chronic pancreatitis, or pancreatic trauma. While the majority of acute pseudocysts resolve spontaneously, few may require drainage. On the other hand, pancreatic cystic tumors, which usually require extirpation, may disguise as pseudocysts. Hence, the distinction between the two entities is crucial for a successful outcome. We conducted this study to highlight the fundamental differences between pancreatic pseudocysts and cystic tumors so that relevant management plans can be devised. We reviewed the data of patients with pancreatic cystic lesions that underwent intervention between June 2007 and December 2010 in our hospital. We identified 9 patients(5 males and 4 females) with a median age of 40 years(range, 30–70 years). Five patients had pseudocysts, 2 had cystic tumors, and 2 had diseases of undetermined pathology. Pancreatic pseudocysts were treated by pseudocystogastrostomy in 2 cases and percutaneous drainage in 3 cases. One case recurred after percutaneous drainage and required pseudocystogastrostomy. The true pancreatic cysts were serous cystadenoma, which was treated by distal pancreatectomy, and mucinous cystadenocarcinoma, which was initially treated by drainage, like a pseudocyst, and then by distal pancreatectomy when its true nature was revealed. We conclude that every effort should be exerted to distinguish between pancreatic pseudocysts and cystic tumors of the pancreas to avoid the serious misjudgement of draining rather than extirpating a pancreatic cystic tumor. Additionally, percutaneous drainage of a pancreatic pseudocyst is a useful adjunct that may substitute for surgical drainage. 关键词：急性胰腺炎囊肿假性肿瘤平均年龄引流治疗浆液性

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Pancreatic pseudocyst or a cystic tumor of the pancreas?

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