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摘要


胰臟實質及囊性腫瘤是一種罕見、惡性度低,並且經常發生在年輕女性的胰臟腫瘤,在臨床上,通常沒有症狀,而常常因其他疾病,偶然被發現。由於它和其他較常見的胰臟囊腫(如漿液性腺腫,黏液性囊性腺腫及內分泌非活性島細胞腫瘤)或發炎引起的假性囊腫,不易做鑑別診斷,因此在術前很少能做出正確的診斷。此種腫瘤的特性是生長緩慢,較少轉移至它處,並且手術切除治療的癒後相當好,是首選的治療方式。我們收集了高雄醫學大學附設中和紀念醫院11年來開刀治療的胰臟標本,發現有3例,而這3例在臨床上的表現卻不盡相同,在此提出來做臨床及病理上的討論並整理一些文獻,以便更能了解這疾病,進而做出正確的診斷及適當的治療。

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並列摘要


Solid and cystic tumor of the pancreas is a rare, low-grade malignant tumor that predominantly occurs in young women. Clinically, the patients are often asymptomatic and are usually found incidentally due to other diseases. The preoperative diagnosis is difficult due to the similarity to other cystic pancreatic lesions (such as serous adenoma, mucinous cystadenoma and endocrinologically Inactive islet cell tumor), or inflammatory changes (such as pancreatic pseudocyst). This tumor has a slow growth, usually does not have metastases and has a favorable prognosis. Complete removal is the treatment of choice for the tumors arising anywhere in the pancreas. We collected specimens of pancreatic tumors that were kept at Kaohsiung Medical University Hospital (KMUH) n the past 11 years. Three cases varying in clinical course were found. The first IS a case of a middle aged woman with a slow growing tumor who had a misdiagnosis of pseudocyst eight years ago. The second is a case of a young woman that showed no symptoms, while the third case was also a young woman diagnosed with a huge tumor with portal vein and inferior vessel encasement. We review some articles to revise the study of this disease in order to make the correct diagnosis before proceeding with the operation, and to provide proper treatment.

被引用紀錄


陳冠文(2015)。電腦輔助診斷系統應用於胰臟腫瘤辨識之研發〔碩士論文,中原大學〕。華藝線上圖書館。https://doi.org/10.6840/CYCU.2015.00128

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