CAJ | 학술논문

目的探讨胰腺导管内乳头状黏液性肿瘤(intraductal papillary mucinous neoplasms,IPMN)的诊断及治疗.方法对2000年1月-2013年10月中国医科大学附属第一医院收治的16例IPMN的临床资料进行回顾性分析.结果 16例患者中男9例,女7例.年龄37 ～61岁,平均年龄49岁.患者以上腹痛为主要临床表现.B超和CT检查均提示胰腺囊实性占位病变,均有不同程度的胰管扩张.10例提示胰管扩张.患者均经手术治疗.病理确诊为腺瘤14例,交界性肿瘤1例,腺癌1例.随访14例,随访时间5～48个月,未发现转移和复发.结论 IPMN是一类特殊类型的胰腺肿瘤,手术切除是有效的治疗,预后良好.
목적 탐토이선도관내유두상점액성종류(intraductal papillary mucinous neoplasms,IPMN)적진단급치료.방법 대2000년1월-2013년10월중국의과대학부속제일의원수치적16례IPMN적림상자료진행회고성분석.결과 16례환자중남9례,녀7례.년령37 ～61세,평균년령49세.환자이상복통위주요림상표현.B초화CT검사균제시이선낭실성점위병변,균유불동정도적이관확장.10례제시이관확장.환자균경수술치료.병리학진위선류14례,교계성종류1례,선암1례.수방14례,수방시간5～48개월,미발현전이화복발.결론 IPMN시일류특수류형적이선종류,수술절제시유효적치료,예후량호.
Objective To summarize the experience in the diagnosis and treatment of intraductal papillary mucinous neoplasms (IPMN) of the pancreas.Methods The clinical data of 16 cases of intraductal papillary mucinous neoplasms of the pancreas in the First Affiliated Hospital of China Medical University from January,2000 to October,2013 was retrospectively analyzed.Results There were 9 males and 7 females,age ranging from 37 to 61 years (average 49 years).The common complaint was epigastric pain.Ultrasonography and CT scan found solid lesions in all cases,main pancreatic duct dilatation was found in 10 cases.All the cases received surgical resection of the tumor.Pathology showed adenomas in 14 cases,borderline tumors in one,and adenocarcinoma in one.14 patients were followed-up ranging from 5 to 48 months,all were alive without recurrence and metastasis.Conclusions IPMT is a special type of pancreatic tumor.Surgical resection is the most effective treatment with excellent prognosis.