中文English
ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R

留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

胰腺囊性肿瘤的分类与诊断

吕炎 张小文

引用本文:
Citation:

胰腺囊性肿瘤的分类与诊断

DOI: 10.3969/j.issn.1001-5256.2016.05.039
详细信息
  • 中图分类号: R735.9

Classification and diagnosis of pancreatic cystic neoplasm

  • 摘要: 胰腺囊性肿瘤是临床上较为少见的一类具有潜在及低度恶性的肿瘤,根据胰腺上皮是否存在及特征分为浆液性囊性肿瘤、黏液性囊性肿瘤、导管内乳头状黏液性肿瘤及实性假乳头状肿瘤。因其病理类型复杂且胰腺位置较深,患者临床症状和体征均缺乏典型性而容易导致误诊或漏诊。介绍了胰腺囊性肿瘤的分类,血清学检查、囊肿穿刺抽液分析以及影像学检查在诊断胰腺囊性肿瘤方面的进展,指出需要多种检查综合分析,方可进一步提高胰腺囊性肿瘤的确诊率。

     

  • [1]ADET A,MIQUEL R,BOMBI JA,et al.Incidence and characteristics of pancreatic cystic neoplasms[J].Gastroenterol Hepatol,2010,33(8):563-568.
    [2]WU Z,WANG Z,XU QH.Surgical treatment of pancre-atic cystic neoplasms[J].J Clin Hepatol,2015,31(5):674-677.
    [3]Italian Association of Hospital Gastroenterologists and Endoscopists;Italian Association for the Study of the Pancreas.Italian consensus guidelines for the diagnostic work-up and fol low-up of cystic pancreatic neoplasms[J].Dig Liver Dis,2014,46(6):479-493.
    [4]del CHIARO M,VERBEKE C,SALVIA R,et al.European experts con-sensus statement on cystic tumours of the pancreas[J].Dig Liver Dis,2013,45(9):703-711.
    [5]CHIN JY,PITMAN MB,HONG TS.Intraductal papillary mucinous neoplasm:clinical surveillance and management decisions[J].Semin Radiat Oncol,2014,24(2):77-84.
    [6]MOHAMADNEJAD M,ELOUBEIDI MA.CystsicL esions of the pancreas[J].Arch Iran Med,2013,16(4):233-239.
    [7]WANG CF.Diagnosis and treatment strategy of pancreatic cystic neoplasms[J].Natl Med J China,2014,94(2):81-82.(in Chinese)王成锋.胰腺囊性肿瘤的诊治策略[J].中华医学杂志,2014,94(2):81-82.
    [8]CLORES MJ,THOSANI A,BUSCAGLIA JM.Multidisciplinary diagnostic and therapeutic approaches to pancreatic cystic lesions[J].J Multidiscip Healthc,2014,7(7):81-91.
    [9]TIAN XD,WU GD,ZHUANG Y,et al.Individualized surgical treatment and prognosis of intraductal papillary mucinous neoplasms of the pancreas[J].Chin J Surg,2013,51(7):588-591.(in Chinese)田孝东,吴广东,庄岩,等.胰腺导管内乳头状黏液性肿瘤的外科治疗及预后分析[J].中华外科杂志,2013,51(7):588-591.
    [10]KAPPELI RM,MULLER SA,HUMMEL B,et al.IPMN:surgical treatment[J].Langenbeck’s Arch Surg,2013,398(8):1029-1037.
    [11]SHEN X,LU D,XU X,et al.A novel distinguishing system for the diagnosis of malignant pancreatic cystic neoplasm[J].Eur J Radiol,2013,82(11):e648-e654.
    [12]BEGER HG,SIECH M,POCH B.Duodenum-preserving total pancreat ic head resection:an organ-sparing operation technique for cystic neoplasms and non-invasive malignant tumors[J].Chirurg,2013,84(5):412-420.
    [13]BUSCARINI E,PEZZILLI R,CANNIZZARO R,et al.Italian consensus guidelines for the diagnostic work-up and follow-up of cystic pancreatic neoplasms[J].Dig Liver Dis,2014,46(6):479-493.
    [14]TALAR-WOJNAROWSKA R,PAZUREK M,DURKO L,et al.A comparative analysis of K-ras mutation and carcinoembryonic antigen in pancreatic cyst fluid[J].Pancreatoloy,2012,12(5):417-420.
    [15]HONG SK,LOREN DE,ROGART JN,et al.Targeted cyst wall puncture and aspiration during EUS-FNA increases the diagnostic yield of premalignant and malignant pancreatic cysts[J].Gastrointest Endosc,2012,75(4):775-782.
    [16]BARRESI L,TARANTINO I,TRAINA M,et al.Endoscopic ultrasound-guided fine needle aspiration and biopsy using a 22-gauge needle with side fenestration in pancreatic cystic lesions[J].Dig Liver Dis,2014,46(1):45-50.
    [17]TALUKDAR R,NAQESHWAR REDDY D.Treatment of pancreatic cystic neoplasm:surgery or conservative[J].Clin Gastroenterol Hepatol,2014,12(1):145-151.
    [18]de JONG K,van HOOFL JE,NIO CY,et al.Accuracy of preoperative workup in a prospective series of surgically resected cystic pancreatic lesions[J].Scand J Gastroenterol,2012,47(8-9):1056-1063.
    [19]BARRESI L,TARANTINO I,GRANATA A,et al.How endoscopic ultrasound morphology and endoscopic ultrasound fine needle aspiration help unlock the diagnostic puzzle[J].World J Gastrointestina Endosc,2012,4(6):247-259.
    [20]ZHOU Y,ZHOU CS.Imaging diagnosis of the cystic lesions of pancreas[J].J Med Imaging,2005,15(4):326-328.(in Chinese)周英,周存升.胰腺囊性病变的影像学诊断[J].医学影像学杂志,2005,15(4):326-328.
    [21]XU P,XU M.Clinical feature,diagnosis and treatment of pancreatic cystic lesion[J].Chin J Gastroenterol,2014,19(1):40-42.(in Chinese)徐萍,徐敏.胰腺囊性病变的临床特征和诊治分析[J].胃肠病学,2014,19(1):40-42.
    [22]XIE JW,YAO Y,WANG XY,et al.An analysis on the CT character of pancreatic cystadenoma[J].J Med Imaging,2008,18(7):819-820.(in Chinese)谢君伟,姚毅,王小燕,等.胰腺囊腺肿瘤的CT特征分析[J].医学影像学杂志,2008,18(7):819-820.
    [23]LI HM,ZHAO WD,CAI L,et al.The analysis of biological treatment of pancreatic cancer by the measurement of iodine-based image after spectral CT imaging[J].China Modern Med,2012,19(20):13-14,17.栗鸿民,赵卫东,蔡琳,等.能谱CT碘基图对胰腺癌生物治疗疗效的分析[J].中国当代医药,2012,19(20):13-14,17.
    [24]LEE HJ,KIM MJ,CHOI JY,et al.Relative accuracy of CT and MRIin the differentiation of benign from malignant pancreatic cystic lesions[J].Clin Radiol,2011,66(4):315-321.
    [25]LIMAIEM F,KHALFALLAH T,FARHAT LB,et al.Pancreatic cystic neoplasms[J].N Am J Med Sci,2014,6(8):413-417.
    [26]HIRONO S,TANI M,KAWAI M,et al.The careinoembryonic antigen level in pancreatic juice and mural nodule size are predictors of malignancy for branch duct type intraductal papillary mucinous neoplasms of the pancreas[J].Ann Surg,2012,255(3):517-522.
    [27]PUCCI MJ,JOHNSON CM,PUNJA VP,et al.Intraoperative pancreato-scopy:a valuable tool for pancreatic surgeons?[J].J Gastrointest Surg,2014,18(6):1100-1107.
    [28]TOPAZIAN M.Endoscopic ultrasound—guided drainage of pancreatic fluid collections(with video)[J].Clin Endosc,2012,45(3):337-340.
    [29]YAMAO K,YANAGISAWA A,TAKAHASHI K,et al.Clinicopathological features and prognosis of mucinous cystic neoplasm with ovarian-type stroma:a multi-institutional study of the Japan pancreas society[J].Pancreas,2011,40(1):67-71.
    [30]TANAKA M,FERNANDEZ-DEL CASTILLO C,ADSAY V,et al.International consensus guidelines 2012 for the management of IPMN and MCN of the pancreas[J].Pancreatology,2012,12(3):183-197.
    [31]JANA T,SHROFF J,BHUTANI MS.Pancreatic cystic neoplasms:review of current knowledge,diagnostic challenges,and managementoptions[J].J Carcinog,2015,14:3.
    [32]DONAHUE TR,HINES OJ,FARRELL JJ,et al.Cystic neoplasms of the pancreas:results of 114 cases[J].Pancreas,2010,39(8):1271-1276.
  • 加载中
计量
  • 文章访问数:  2059
  • HTML全文浏览量:  14
  • PDF下载量:  441
  • 被引次数: 0
出版历程
  • 出版日期:  2016-05-20
  • 分享
  • 用微信扫码二维码

    分享至好友和朋友圈

目录

    /

    返回文章
    返回