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自1965~1974年的近30年间,我们收治了16例胰腺囊性肿瘤病人。男性4例,女性12例,平均年龄50.9岁。多数学者建议废弃小囊性和巨囊性的分类,而采用浆液性和粘液性的组织学名称。B超和CT对于肿物的检出和肿物周边钙化的显示具有一定价值。囊壁不完全的活检可导致冰冻甚至石腊切片的误诊。各种类型的病变均需行手术切除。本文还对各类囊性肿瘤的特征与假性囊肿的鉴别诊断及各类手术方式作了讨论。
In the past 30 years from 1965 to 1974, we treated 16 patients with pancreatic cystic tumors. There were 4 males and 12 females with an average age of 50.9 years. Most scholars propose to abandon the classification of small cystic and macrocystic and adopt serous and mucinous histological names. B-ultrasonography and CT have some value for the detection of tumors and the appearance of calcifications around the tumor. Incomplete biopsy of the wall can lead to misdiagnosis of frozen or paraffin sections. Various types of lesions require surgical resection. This article also discusses the differential diagnosis of various types of cystic tumors and pseudocysts and various surgical methods.