胰体尾部占位病变的诊断和治疗研究

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2024年7月20日发(作者：)

广州医学院硕士学位论文 胰体尾部占位病变的诊断和治疗研究

Methods

The clinical data of 4 cases of tumor of distal pancreas which

underwent operation were analyzed.

Results

The main clinical manifestations of distal pancreas cancer were

abdominal pain, backache, emaciation and weakness. Ultrasonography, CT and MRI

were the main methods to diagnose pancreatic body and tail carcinoma. Imaging and

tumor marker detection can give exact diagnosis of tumor.

Conclusion

Combined imaging and serum detection can enhance the findings

of distal pancreatic malignancy. Radical resection is the unique method for long

survival.

Key words

pancreatic body and tail tumor; surgical therapy

Part three： Diagnosis and differential diagnosis of

distal pancreatic cystic neoplasm

Objective

To explore the diagnosis and differential diagnosis of distal

pancreatic cystic neoplasms.

Methods

Nine cases of distal pancreatic cystic neoplasm admitted to our

hospital were analyzed retrospectively.

Results

Of all nine patients in this group, only 1 was definitely diagnosed as

cystic tumor of the pancreas preoperatively, 8 were diagnosed as pseudocyst. The

body and tail of the pancreas and the spleen were resected in 3 patients, and 6 cases

were undergone spleen preserving distal pancreatectomy.

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广州医学院硕士学位论文 胰体尾部占位病变的诊断和治疗研究

Conclusion

We can improve the correct diagnosis rate by comprehensively

analyzing the clinical character，images of pancreas, and biochemistry and exfoliative

cytology of cyst fluid.

Key Words

pancreatic body and tail; cystic neoplasm; diagnosis; differential

diagnosis

Part four： Distal pancreatectomy for neoplasm

Objective

To probe the surgical treatment of distal pancreatic neoplasm.

Methods

Twenty-four patients with distal pancreatectic neoplasm form

November 2001 to May 2009 in our hospital were retrospectively analyzed.

Result

10 males and 14 females were included in this group, with the average

age of 43. Nine cases were confirmed to be benign. 15 cases had spleen-reservation

and 9 patients underwent splenectomy. The other operations include gastrectomy,

adrenalectomy, colon and partial liver resection.

Conclusion

Distal pancreatectomy is one of the best choices to treat benign

lesion of distal pancreas. The symptoms could be relieved by palliative procedure.

Spleen-preserving distal pancreatectomy is one safe and feasible treatment of benign

and borderline tumors of pancreas.

Key words

pancreatic neoplasm; spleen-preserving distal pancreatectomy

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本文标签： 诊断病变尾部占位硕士学位