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1964~89年,我院共收治胰腺癌164例,其中有特殊临床表现者13例,现分述如下。一、胰腺囊性肿瘤:例1,女,29岁。1984年因发现左上腹包块渐增大3年入院。查体:左上腹可扪及17X20cm的球形包块,表面光滑,边界清楚,无囊性感和触痛。B超报告肝左叶下方囊性占位病变,内有分隔,CEA正常。术前诊断肠系膜囊肿,术中见胰腺体尾部有30X20X15cm的囊性包块,周围粘连。囊内有1 500ml浅黄色液体,囊内有分隔,并见多乳头状突起。行囊肿空肠Roux—Y式吻合术。囊液淀粉酶16温氏单位,活检病理报告胰腺乳头状粘液性囊腺瘤癌变,2年后失访。
From 1964 to 1989, 164 cases of pancreatic cancer were treated in our hospital, including 13 cases with special clinical manifestations. First, pancreatic cystic tumor: Case 1, female, 29 years old. In 1984, he discovered that the mass of the upper left abdomen gradually increased for 3 years. Physical examination: The left upper abdomen can be paved with 17x20cm spherical masses, with a smooth surface and clear borders. No sacs are sexy and tender. Ultrasonography reports cystic lesions below the left hepatic lobe, with internal segregation and normal CEA. Preoperative diagnosis of mesenteric cysts, intraoperative pancreatic body tail 30X20X15cm cystic mass, peripheral adhesions. There are 1500ml light yellow liquids in the capsule, separated within the capsule, and see papillary protrusions. Cyst jejunum Roux-Y anastomosis. The cyst fluid amylase 16 Wen’s unit, biopsy pathology report cancerous papillary mucinous cystadenoma of the pancreas, lost after 2 years.