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目的探讨胰腺巨大囊性实质性肿瘤术前有效的诊断和外科治疗方法。方法回顾性总结分析巨大胰腺囊性实质性肿瘤(直径>8cm)的术前诊断方法和手术治疗结果。结果复旦大学华山医院外科自1999年至今收治15例直径>8cm的胰腺囊性实质性肿瘤,均行根治性手术切除。病理诊断:实性假乳头状瘤9例,囊腺瘤4例,囊腺癌2例。结论胰腺巨大囊性实质性肿瘤的诊治较为困难,螺旋CT、DSA结合肿瘤标记物检测有助于肿瘤的诊断和可切除性判断,手术切除仍是目前主要的治疗手段。
Objective To investigate the effective preoperative diagnosis and surgical treatment of giant cystic tumor of pancreas. Methods The preoperative diagnosis and surgical treatment of huge pancreatic cystic tumors (diameter> 8cm) were retrospectively reviewed. Results Fudan University Huashan Hospital Surgery since 1999, 15 cases of pancreatic cyst> 8cm in diameter were treated with radical resection. Pathological diagnosis: solid pseudopapillary tumor in 9 cases, cystadenoma in 4 cases, 2 cases of cystadenocarcinoma. Conclusions The diagnosis and treatment of giant cystic tumor of pancreas is very difficult. Spiral CT and DSA combined with tumor markers are helpful to the diagnosis and resectability of tumor. Surgical resection is still the main treatment.