胰腺囊性肿瘤的分类与诊断

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。...

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Bibliographic Details
Published in临床肝胆病杂志 Vol. 32; no. 5; pp. 968 - 971
Main Author 吕炎 张小文
Format Journal Article
LanguageChinese
Published 昆明医科大学第二附属医院肝胆胰二病区,昆明,650101 2016
Subjects
综述
胰腺肿瘤
诊断
diagnosis
诊断
综述
pancreatic neoplasms
胰腺肿瘤
review
Online AccessGet full text
ISSN1001-5256
DOI10.3969/j.issn.1001-5256.2016.05.039

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Summary: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。
Bibliography:Pancreatic cystic neoplasm is a relatively rare potential neoplasm in clinical practice and has a low- grade malignancy. Pancreatic cystic neoplasm is classified as serous cystic neoplasm,mucinous cystic neoplasm,intraductal papillary mucinous neoplasm,and solid pseudopapillary neoplasm. Due to its complex pathological type and the deep location of the pancreas,patients often lack typical clinical symptoms and signs,which may easily lead to misdiagnosis or missed diagnosis. This article introduces the classification of pancreatic cystic neoplasm and research advances in serological examinations,cyst puncture and aspiration,and imaging examinations in the diagnosis of pancreatic cystic neoplasm and points out a combination of various examinations can improve the rate of confirmed diagnosis of pancreatic cystic neoplasm.
pancreatic neoplasms; diagnosis; review
LYU Yan, ZHANG Xiaowen. （ Second Ward, Department of Hepatopancreatobiliary Surgery, The Second Affiliated Hospital of Kunming Medi- cal University, Kunmin
ISSN:1001-5256
DOI:10.3969/j.issn.1001-5256.2016.05.039