CAJ | 학술논문

目的探讨胰腺黏液性囊性肿瘤的临床病理特征、诊断和治疗.方法回顾性分析天津肿瘤医院收治的42例胰腺黏液性囊性肿瘤临床病理资料,采用x2检验、t检验进行分组比较.结果患者平均年龄53.1(29～78)岁,女性患者32例,占76.2％.根据有无临床症状分组,两组在肿瘤大小、肿瘤部位、手术方式、手术时间、是否与周围组织粘连及病理类型方面差异有统计学意义.根据病理类型分组,三组在年龄、肿瘤标志物、肿瘤部位、手术方式、手术时间、是否与周围组织粘连、是否术中输血及术后住院时间方面,差异有统计学意义.囊腺瘤组随访期无复发,囊腺癌组术后复发的时间为0～50(16.4±16.8)个月,术后生存期为3～58(22.9±18.6)个月.结论黏液性囊性肿瘤好发于中年女性,出现明显临床症状提示肿瘤恶变的可能,早期手术切除是黏液性囊性肿瘤治疗的关键.
목적 탐토이선점액성낭성종류적림상병리특정、진단화치료.방법 회고성분석천진종류의원수치적42례이선점액성낭성종류림상병리자료,채용x2검험、t검험진행분조비교.결과 환자평균년령53.1(29～78)세,녀성환자32례,점76.2％.근거유무림상증상분조,량조재종류대소、종류부위、수술방식、수술시간、시부여주위조직점련급병리류형방면차이유통계학의의.근거병리류형분조,삼조재년령、종류표지물、종류부위、수술방식、수술시간、시부여주위조직점련、시부술중수혈급술후주원시간방면,차이유통계학의의.낭선류조수방기무복발,낭선암조술후복발적시간위0～50(16.4±16.8)개월,술후생존기위3～58(22.9±18.6)개월.결론 점액성낭성종류호발우중년녀성,출현명현림상증상제시종류악변적가능,조기수술절제시점액성낭성종류치료적관건.
Objective To study the clinicopathological characteristics,diagnosis and treatment of patients with mucinous cystic neoplasms (MCNs) of the pancreas.Methods The clinical data of 42 patients with mucinous cystic neoplasms of pancreas were retrospectively analyzed.Chi-square test and independent sample t-test were used for statistical analysis.Results The mean age of the patients was 53.1 yeas (ranged from 29 to 78 y).There were 32 female (76.2％).The patients were divided into two groups according to symptoms (the symptomatic group and the asymptomatic group).There were significant differences in tumor size,tumor location,operation type,operation time and adhesions with the surrounding tissues between the 2 groups of patients.The patients were then divided into three groups according to pathological type.There were significant differences in age,tumor marker,tumor location,operation type,operation time,adhesions with the surrounding tissues,operative blood loss,and postoperative hospital stay among the 3 groups of patients.There was no tumour recurrence in the patients with cystadenoma.Patients with cystadenocarcinoma developed tumor recurrence at a mean of 16.4 months (range,0-50) and died of tumor recurrence even after radical surgery at a mean of 22.9 months (range,3-58).Conclusion MCNs were seen most commonly in middleaged women.The presence of symptoms was a sign of malignancy.Resection of the tumor in the early stage is the key in dealing with MCNs.