中华肝胆外科杂志
中華肝膽外科雜誌
중화간담외과잡지
CHINESE JOURNAL OF HEPATOBILIARY SURGERY
2012年
10期
758-761
,共4页
张栋%郎韧%陈大志%樊华%金中奎%李先亮%冯艳
張棟%郎韌%陳大誌%樊華%金中奎%李先亮%馮豔
장동%랑인%진대지%번화%금중규%리선량%풍염
胰腺肿瘤%消化系统肿瘤%文献计量学
胰腺腫瘤%消化繫統腫瘤%文獻計量學
이선종류%소화계통종류%문헌계량학
Pancreatic neoplasms%Digestive system neoplasms%Bibliometrics
目的 探讨胰腺导管内乳头状黏液性肿瘤(IPMN)合并胰腺外恶性肿瘤(EPM)的部分临床特点,为临床诊治胰腺IPMN提供帮助.方法 以PubMed为检索数据库,对已发表的关于胰腺IPMN文献中经病理学证实的临床病例进行荟萃分析,尝试阐明胰腺IPMN病例并存EPM的发生率和EPM的发生部位(类型)及其比例.结果 共筛选出符合纳入排除标准的文献18篇,共汇集病例1327例,其中并存EPM病例363例,占 27.35%.该363例病例中,共统计到392处EPM.EPM几乎可发生于全身各个系统,以消化道及其相关来源恶性肿瘤最为多见,占总EPM数量的63.06%.结论 胰腺IPMN患者常合并EPM,以消化系统恶性肿瘤居多,提示在该疾病的诊治过程中不应忽视EPM的存在.在随访中,更应警惕新发EPM的可能,且在胰腺IPMN治疗方式的选择方面又增加了一个考虑因素.
目的 探討胰腺導管內乳頭狀黏液性腫瘤(IPMN)閤併胰腺外噁性腫瘤(EPM)的部分臨床特點,為臨床診治胰腺IPMN提供幫助.方法 以PubMed為檢索數據庫,對已髮錶的關于胰腺IPMN文獻中經病理學證實的臨床病例進行薈萃分析,嘗試闡明胰腺IPMN病例併存EPM的髮生率和EPM的髮生部位(類型)及其比例.結果 共篩選齣符閤納入排除標準的文獻18篇,共彙集病例1327例,其中併存EPM病例363例,佔 27.35%.該363例病例中,共統計到392處EPM.EPM幾乎可髮生于全身各箇繫統,以消化道及其相關來源噁性腫瘤最為多見,佔總EPM數量的63.06%.結論 胰腺IPMN患者常閤併EPM,以消化繫統噁性腫瘤居多,提示在該疾病的診治過程中不應忽視EPM的存在.在隨訪中,更應警惕新髮EPM的可能,且在胰腺IPMN治療方式的選擇方麵又增加瞭一箇攷慮因素.
목적 탐토이선도관내유두상점액성종류(IPMN)합병이선외악성종류(EPM)적부분림상특점,위림상진치이선IPMN제공방조.방법 이PubMed위검색수거고,대이발표적관우이선IPMN문헌중경병이학증실적림상병례진행회췌분석,상시천명이선IPMN병례병존EPM적발생솔화EPM적발생부위(류형)급기비례.결과 공사선출부합납입배제표준적문헌18편,공회집병례1327례,기중병존EPM병례363례,점 27.35%.해363례병례중,공통계도392처EPM.EPM궤호가발생우전신각개계통,이소화도급기상관래원악성종류최위다견,점총EPM수량적63.06%.결론 이선IPMN환자상합병EPM,이소화계통악성종류거다,제시재해질병적진치과정중불응홀시EPM적존재.재수방중,경응경척신발EPM적가능,차재이선IPMN치료방식적선택방면우증가료일개고필인소.
Objective To analyse the clinical characteristics of pancreatic intraductal papillary mucinous neoplasm (IPMN) which coexists with extrapancreatic malignancy (EPM),with an aim to provide strategies for clinical diagnosis and treatment.Methods The PubMed was used to search for the pancreatic IPMN related articles with positive pathologic results.A pooled analysis was then performed.The ratio ofpancreatic IPMNs coexisting with EPMs and the locations (or the type) of EPMs were analyzed.Results After a strict process of screening,18 articles met the pre-determined standardsand were accepted.Of the 1327 patients,363 had coexisting EPMs (27.35%).There were 392 EPMs in these 363 patients.The EPMs occurred in almost all the systems of the body,especially in the digestive tract and its related organs,which accounted for 63.06% of the EPMs. Conclusions There is a tendency for patients with pancreatic IPMN to have coexisting EPM. More than half of these EPMs are malignant tumors in the digestive system. When pancreatic IPMN is diagnosed,the clinician should be aware of the possible coexistence of an EPM and should look for the possibility of a new EPM developing in a patient after treatment of pancreatic IPMN.