An aggressive surgical approach is warranted in the management of cystic pancreatic neoplasms.
作者： Jeffrey M. Hardacre , Michael F. McGee , Thomas A. Stellato , James A. Schulak
DOI: 10.1016/J.AMJSURG.2006.09.029
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摘要: Abstract Background Cystic pancreatic neoplasms encompass a range of benign to malignant disease. Recommendations for surgical management vary. Methods Records patients with cystic from January 1996 through December 2005 were retrospectively reviewed. Results Sixty resections performed 16 serous neoplasms, 7 mucinous (MCNs), and 37 intraductal papillary (IPMNs). Twenty-five percent (15/60) contained invasive cancer. Patients MCN or IPMN experienced significantly diminished overall 5-year survival compared carcinoma in situ adenoma/borderline (22% vs. 73% 94%, P = .004). Conclusions Given the poor long-term containing cancer current difficulty preoperatively distinguish among various types lesions reliable manner, our data support an aggressive approach neoplasms.
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