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췌장의 점액성 낭성종양 - 9예보고 및 국내문헌 고찰 -
Nine Cases of Mucinous Cystic Neoplasms of the Pancreas췌장의 점액성 낭성종양 - 9예보고 및 국내문헌 고찰 -
이용찬(Yong Chan Lee),송시영(Si Young Song),정재복(Jae Bock Chung),박찬신(Chan Shin Park),최원(Won Choi),강진경(Jin Kyung Kang),박인서(In Suh Park)
UCI I410-ECN-0102-2009-510-004930382

Most cystic lesions of the pancreas are pseudocysts, however, 10% to 15% are cystic neo- plasms, including serous cystadenoma and mucinous cystic neoplasms(mucinous cystadenorna and cystadenocarcinoma). Pseudocysts may resolve spontaneously or may require a drainage procedure, but total excision is the ideal treatment for pancreatic cystadenoma because it is a true neoplasm which probably posseses a malignant potential. The authors have reviewed 9 patients(4 patients of mucinous cystadenoma and 5 patient.s of mucinous cystadenocarcinoma) from January 1981 to December 1990. There were 8 women and 1 man with the mean age of 49.3 years(range, 27 to 68 years). Abdominal pain was the most common symptom(6 patients) with the palpable mass in 3 patients. Ijltrasonography showed cystic mass in 7 patients(77.8% ). Of those 6 patients who underwent C;T, ll detected the lesion without difficulty. Endoscopic retrograde cholangiopancreatography(F,RCP) were performed in 5 patients with the findings of duct displacements in 3 patients and abrupt cut- off of pancreatic duct in 1 patients and there was no comrnunication between main duct and cyst. Tail was the most common location of the tumor(5 patients) with mean size of 8.9cm (range, 2.0 to 22.0cm). Curative resection were possible in 6 patient(66.7%). Survival time was obtainable in 6 patients. After excluding 2 patients whom died 4 rnonths and 6 months after surgery respectively, the median survival duration was 27 months(maximum 69 months).(Korean J Gastroenterol 1994; 26: 728 736)

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