췌장 낭성종양과 췌관내 유두상 점액종양에 대한 임상적 고찰
Cystic Neoplasms and Intraductal Papillary Mucinous Neoplasms of the Pancreas
유지상, 권오정, 이광수, 이경근, 백홍규,
소속 상세정보
유지상 ( Yoo Ji-Sang )
한양대학교 의과대학 외과학교실
권오정 ( Kwon Oh-Jung )
한양대학교 의과대학 외과학교실
이광수 ( Lee Kwong-Soo )
한양대학교 의과대학 외과학교실
이경근 ( Lee Kyeong-Geun )
한양대학교 의과대학 외과학교실
백홍규 ( Baik Hong-Kyu )
한양대학교 의과대학 외과학교실
KMID : 0371320010610050524
Abstract
Purpose : Cystic neoplasms of the pancreas are rare tumors that occurs in approximately 10∼15% of all cystic lesions of the pancreas. A recent trend has been to resect all cystic neoplasms, without any attempt to preoperatively determine
the
exact histologic subtype.
Methods : We retrospectively reviewed the clinical records of fifteen patients with cystic neoplasms and intraductal papillary mucinous neoplasms of the pancreas who were treated surgically between January, 1991 and May, 2001.
Results : Patient ages ranged from 14 to 69 years with a mean of 53.4. Sixty percent of patients were women. There were 4 cases of mucinous cystic neoplasms, 7 solid pseudopapillary tumors, 3 intraductal papillary mucinous neoplasms, and 1
serous
cystadenoma. The most prominant symptom was an abdominal mass. Pancreat icoduodenectomy was performed in six cases, distal pancreatectomy in five cases, excision of cyst in three cases and median segmental pancreatectomy in one case. The
mortality
rate
from surgery was 0%, and the overall perioperative complication rate was 40%. The mean follow-up was 24 months (range from 2 months to 63 months). Two patients, both displaying intraductal papillary mucinous neoplasms, died at 9 and 14 months
postoperatively.
Conclusion : We suggest that cystic neoplasms of the pancreas including intraductal papillary mucinous neoplasm should be resected because they are malignant or pre-malignant. Endoscopic retrograde cholangiopancreatography is the imaging
modality
of choice for the diagnosis of intraductal papillary mucinous neoplasm. We conclude that the prognosis for resected cystic neoplasms of the pancreas is good.
키워드
낭성종양; 췌관내 유듀상 점액종양; 췌장; Cystic neoplasms; Intraductal papillary mucinous neoplasm; Pancreas;
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