中华肝胆外科杂志
中華肝膽外科雜誌
중화간담외과잡지
CHINESE JOURNAL OF HEPATOBILIARY SURGERY
2013年
7期
516-519
,共4页
张栋%陈大志%樊华%金中奎%李先亮%冯艳%郎韧
張棟%陳大誌%樊華%金中奎%李先亮%馮豔%郎韌
장동%진대지%번화%금중규%리선량%풍염%랑인
胰腺肿瘤%病理学,外科%文献计量学
胰腺腫瘤%病理學,外科%文獻計量學
이선종류%병이학,외과%문헌계량학
Pancreatic neoplasms%Pathology,surgical%Bibliometrics
目的 寻找与胰腺导管内乳头状黏液性肿瘤(IPMN)良恶性相关的形态学特征以供临床实践参考.方法 研究尝试运用汇集分析的方法,通过对PubMed数据库中2011年6月30日以前所发表文献中经病理学证实的胰腺IPMN的形态学特征进行分析.主要分析数据为:性别特征、主胰管直径、囊性病变直径、壁结节情况、肿瘤的病理学类型(良、恶性).结果 共汇集文献98篇,胰腺IPMN病例1902例,其中良性1025例(53.89%),恶性877例(46.11%).胰腺IPMN形态学特征中,主胰管扩张(≥5 mm)、囊性病变尺寸较大(≥30 mm)及壁结节的存在与肿瘤的良恶性特征存在相关性,其OR值(95%CI)分别为5.591(3.657-8.548)、3.633(2.626-5.027)及4.983(3.872-6.412).结论 主胰管扩张(≥5 mm)、囊性病变尺寸较大(≥30 mm)及壁结节的存在均提示胰腺IPMN为恶性可能.胰腺IPMN的治疗应在对其临床诸多特征进行综合分析并评估其良恶性之后,结合患者的具体情况慎重决定.
目的 尋找與胰腺導管內乳頭狀黏液性腫瘤(IPMN)良噁性相關的形態學特徵以供臨床實踐參攷.方法 研究嘗試運用彙集分析的方法,通過對PubMed數據庫中2011年6月30日以前所髮錶文獻中經病理學證實的胰腺IPMN的形態學特徵進行分析.主要分析數據為:性彆特徵、主胰管直徑、囊性病變直徑、壁結節情況、腫瘤的病理學類型(良、噁性).結果 共彙集文獻98篇,胰腺IPMN病例1902例,其中良性1025例(53.89%),噁性877例(46.11%).胰腺IPMN形態學特徵中,主胰管擴張(≥5 mm)、囊性病變呎吋較大(≥30 mm)及壁結節的存在與腫瘤的良噁性特徵存在相關性,其OR值(95%CI)分彆為5.591(3.657-8.548)、3.633(2.626-5.027)及4.983(3.872-6.412).結論 主胰管擴張(≥5 mm)、囊性病變呎吋較大(≥30 mm)及壁結節的存在均提示胰腺IPMN為噁性可能.胰腺IPMN的治療應在對其臨床諸多特徵進行綜閤分析併評估其良噁性之後,結閤患者的具體情況慎重決定.
목적 심조여이선도관내유두상점액성종류(IPMN)량악성상관적형태학특정이공림상실천삼고.방법 연구상시운용회집분석적방법,통과대PubMed수거고중2011년6월30일이전소발표문헌중경병이학증실적이선IPMN적형태학특정진행분석.주요분석수거위:성별특정、주이관직경、낭성병변직경、벽결절정황、종류적병이학류형(량、악성).결과 공회집문헌98편,이선IPMN병례1902례,기중량성1025례(53.89%),악성877례(46.11%).이선IPMN형태학특정중,주이관확장(≥5 mm)、낭성병변척촌교대(≥30 mm)급벽결절적존재여종류적량악성특정존재상관성,기OR치(95%CI)분별위5.591(3.657-8.548)、3.633(2.626-5.027)급4.983(3.872-6.412).결론 주이관확장(≥5 mm)、낭성병변척촌교대(≥30 mm)급벽결절적존재균제시이선IPMN위악성가능.이선IPMN적치료응재대기림상제다특정진행종합분석병평고기량악성지후,결합환자적구체정황신중결정.
Objective To study the clinical characteristics which are related to malignancy in pancreatic intraductal papillary mucinous neoplasm (IPMN) with an aim to provide evidence for clinical practice.Methods Using PubMed,all pancreatic IPMN related articles with positive pathologic results before July 30th,2011 were studied.A pooled analysis was carried out on the morphological features of the disease.The analysis included gender,diameter of main pancreatic duct,diameter of cystic lesion,mural nodules and histological types (benign/malignant) of the neoplasm.Results 98 articles (including 1902 cases) were collected and analyzed.1025 cases were benign (53.89%) and 877 cases (46.11 %) were malignant.Morphologically,there were a correlation between main pancreatic duct dilatation (≥5 mm),cystic lesion of large size (≥30 mm),presence of mural nodules and malignancy.The OR (95% CI) were 5.591 (3.657-8.548),3.633 (2.626-5.027) and 4.983 (3.872-6.412) respectively.Conclusions A main pancreatic duct dilatation (≥5 mm),cystic lesions of large size (≥30 mm) and presence of mural nodules prompt the tumor to be malignant.In clinical work,the management of pancreatic IPMN should be made prudently based on comprehensive analysis of clinical features and the patient's status and intent.