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胰腺高粘蛋白分泌型导管内肿瘤(MHIP)在1982年才被定名,它是一种囊腺癌的前体,常以胰腺炎的表现为首发症状,这是由于粘蛋白过量分泌而阻塞胰腺所致。研究分析1988年~1996年所收治的20例MHIP,男性占14例,女性6例,平均年龄59±11岁。全部有剑突下腹痛史,5例伴有背部辐射痛,12例体重下降,3例有腹泻,1例有黄疸。术前14例作内镜超声扫描,示胰腺肿块6例、胰腺扩张3例和胰腺囊性变2例等,无异常2例。CT扫描的特异性不高,ERCP则是最具特异性的检查,其中有
The pancreatic high-mucin secreted intraductal tumor (MHIP) was only named in 1982. It is a precursor of cystadenocarcinoma and often presents with pancreatitis as the first symptom. This is due to the excessive secretion of mucin that blocks the pancreas. Caused. The study analyzed 20 cases of MHIP admitted from 1988 to 1996, male 14 cases, female 6 cases, average age 59±11 years old. All had a history of abdominal pain under xiphoid, 5 cases had radiation pain on the back, 12 cases lost weight, 3 cases had diarrhea, and 1 case had jaundice. Before surgery, 14 cases underwent endoscopic ultrasonography, showing 6 cases of pancreatic mass, 3 cases of pancreatic expansion, and 2 cases of pancreatic cystic changes. There were no abnormalities in 2 cases. The specificity of CT scan is not high, and ERCP is the most specific examination.