胰腺囊腺癌临床诊治分析

  目的 探讨胰腺囊腺癌的临床特点及疗效，提高胰腺囊腺癌的诊治水平。方法 对1990年1月至2006年6月年收治的13例胰腺囊腺癌患者临床资料进行回顾性分析。结果 术前诊断为胰腺囊腺癌6例，囊腺瘤2例，胰腺癌1例，胰腺假性囊肿4例，误诊率53.8 %。13例全部手术：行根治性手术10例，术后随访5年仍生存者6例，其中1例已经无瘤生存11年；姑息手术3例，均于术后3年内死亡。结论 胰腺囊腺癌临床表现缺乏特异性，术前诊断较为困难，根治性手术是最有效的治疗方法。

Analysis on the clinical diagnosis and treatment of pancreatic cystadenocarcinoma

Objective To study the clinical characteristics and curative effects of pancreatic cystade－nocarcinoma in order to improve its diagnostic and therapeutic accuracy. Methods A retrospective analysis was done on the clinical materials of 13 cases of pancreatic cystadenocarcinoma hospitalized in Shanxi Cancer Hospital from 1990 to 2006. Results The preoperative diagnosis were as follows: pancreatic cystadenocarci－noma 6 cases, pancreatic cystadenoma 2 cases, pancreatic cancer 1 case, pancreatic pseudocyst 4 cases. The misdiagnosis rate was 53.8 %. Surgical operation was done on the 13 cases, and 10 of them were treated by radical operation. A 5-year follow-up was done on 6 still alive cases, and 1 of them lived over 11 years. 3 cases were treated by palliative operation, and all of them died within 3 years. Conclusion Since there is no specific clinical manifestations of pancreatic cystadenocarcinoma, it is very difficult to get an accurate preop－erative diagnosis. Radical operation is the most effective therapeutic methods.