Diagnosis and treatment of mutinous cystadenoma of the pancreas

VernacularTitle:胰腺黏液性囊性肿瘤临床诊断及治疗
Author: Haibo CAO ; Kunxing YANG ; Pengcheng XI ; Binbin HU
Publication Type:Journal Article
Keywords: Pancreas; Cystic tumor; Mucinous cystadenoma of the pancreas
From: Chinese Journal of Postgraduates of Medicine 2010;33(17):21-23
CountryChina
Language:Chinese
Abstract: Objective To investigate the diagnosis and treatment of mutinous cystadenoma of the pancreas.Method The clinical data of 12 cases with pancreatic mutinous cystadenoma was confirmed by pathology from May 2000 to May 2009 was retrospectively analysed.Results The accuracy rates of ultrasound,CT and MRCP were 50.0%(5/10),66.7%(6/9)and 83.3%(5/6)respectively.Pancreaticoduodenectomy,duodenum-preserving pancreatic head resection,distal pancreatic resection,distal pancreaticresection and splenectomy,segment pancreatic resection were performed according to the site of tumors.Completed resectable rate was 91.7%(11/12),palliative resection in 1 case,postoperative pancreatic leakage in 3 cases.2 cases cured;1 case died of intra-abdominal infection caused by pancake fistula 1 month later;1 case died of tumor recurrence and metastasis 25 months later.Conclusions Pancreatic cystic neoplasms is lack of specific clinical manifestations.Combined with application of imaging methods,can improve the diagnosis rate.Operation is the most effective therapy.The feasible procedures for mucinous cystadenoma of the pancmas should be choiced according to the site of tumors.