18Cases, Cystic Pancreatic Adenomas And Bursa Adenocarcinoma Clinical Diagnosis Analysis

Objective:Discusses the pancreas capsule adenomas and sac of adenocarcinomaof clinical diagnosis and surgical treatment and improve the capsule adenomas andbursa adenocarcinoma the diagnosis and treatment of understanding.Methods:In March2002-March2012dalian medical university hospital affiliatedsecond were18cases of pancreatic capsule adenomas and bursa adenocarcinomapatients for clinical data were retrospectively analyzed.Results:Statistical pancreas capsule adenomas and bursa adenocarcinoma patients18cases, patients age and a84-year-old between, mean age42.6years, sexratio5:13.And12cases of patients with cystic adenomas are female, and for a singletumor, diameter in:1.2-11.3cm vary in size, with an average of6.7cm.6cases ofadenocarcinoma patients were men with5cases, female in1, and all for the singletumor, diameter in:5-14.5cm, an average of10.7cm.The dull ache because ofabdominal discomfort and issued the back pain in5patients (27.8%), because aftereating on the feeling of nausea and vomiting clinic in4(22.2%), and no significantclinical symptoms, line B ultrasonic examination found doctor9cases of pancreaticmass (50%).12cases of pancreatic capsule adenoma do cancer patients serum antigen(CEA) embryo, sugar antigen (CA199) tumor markers check, inspection results in thenormal range;Gland cancer were6cases per capita line serum carcinoma antigen (CEA)embryo, sugar antigen (CA199) tumor markers check,6were found to have3cases ofcarbohydrate antigen (CA199) index increased different level.18patients preoperativeblood glucose levels, blood amylase leels and bilirubin level determination is in thenormal range.18patients have16cases of surgical treatment, simple excision localtumor,3patients with Pancreticoduedenectomy in4; Remote pancreatic resectionjejunum-Roux-Y anastomosis in1; Pancreas segmental resection2cases; Joint spleenresection6cases.Have2cases of preoperative CT found pancreatic adenocarcinoma happened were liver metastases and associated with ascites, it did not go to surgery.This group of patients occurred after2cases’ leak with celiac infection ofcomplications, the adequate drainage and strengthen nutrition support symptomatictreatment after healed.18patients were2months-10years, sac adenoma surgerypatients survival satisfied, without tumor recurrence.4cases capsule adenocarcinomapostoperative surial were25months,36months,29months and33months;2cases ofpancreatic adenocarcinoma with liver metastasis were not go to surgery are in10months of death.Conclusions:1.Cystic pancreatic adenomas and bursa adenocarcinoma lack of clinical specificperformance, multiple women, low incidence.2.Cystic pancreatic adenomas and bursa adenocarcinoma preoperative qualitativediagnosis is difficult, with the aid of the diagnosis of the disease imaging has guidingsignificance, in addition, the healthy check-up also can find the disease when early.3.Surgical resection is the only effective treatment, specific procedures accordingto choose in the operation of tumor size, location, and capsule is complete, thesurrounding tissues and organs violation degree and blood vessels intraoperative frozenpathological results of benign and malignant tumor to decide.4.Cystic pancreatic adenomas and bursa adenocarcinoma patients if can throughthe early diagnosis and proper surgical management, can improve survival.