胰腺囊肿肿瘤的鉴别诊断

Solonitsyn Eg
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引用次数: 1

摘要

胰腺囊性肿瘤是胰腺导管上皮或实质的一组肿瘤改变。这是现代医学的一个复杂的诊断问题。随着胰腺病理诊断方法的提高,偶发胰腺囊肿的检出率不断提高。一些囊性病变肿瘤被认为是胰腺腺癌的前兆,需要早期手术治疗或密切观察。本文就胰腺囊肿的分类、恶性潜能及鉴别诊断等问题进行讨论。液体。SCN是一种薄壁囊性肿瘤,具有微囊性成分,未与胰管相连。EUS-FNA显示明亮,清澈的液体,淀粉酶和肿瘤标志物水平低,粘蛋白阴性。细胞学研究的敏感性较低。SPN是一种具有实性和囊性成分的肿瘤,主要见于20-30岁的年轻女性。EUS-FNA显示出血性液体,淀粉酶水平低,粘蛋白染色阴性。诊断可以通过对抽吸液的形态学研究来确定。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Differential Diagnosis of Pancreatic Cyst Tumors
Pancreatic cystic neoplasm is a group of neoplastic changes in the epithelium of the ducts or parenchyma of the pancreas. This is a complex diagnostic problem of modern medicine. With the improvement of diagnostic methods for pancreatic pathology, the frequency of detection of incidental pancreatic cysts has been increased. Some cystic lesions neoplasms are recognized as precursor of pancreatic adenocarcinoma and requires early surgical treatment, or close observation. The article discusses the issues of classification, the malignant potential and the differential diagnosis of pancreatic cysts. fluids. Cytological sensitivity is low SCN is a thin-walled cystic tumor with a microcystic component not connected with the pancreatic duct. EUS-FNA shows a bright, clear fluid with a low level of amylase, tumor markers and negative for mucin. The sensitivity of cytological study is low. SPN is a tumor with solid and cystic components, which is found mainly in young women (20-30 years old). EUS-FNA shows hemorrhagic fluids, with a low level of amylase, and negative staining for mucin. The diagnosis can be made as a result of morphological study of aspirate.
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