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胰腺囊性肿瘤不仅发病率低,而且多为良性病变。复发多发生于胰腺黏液性腺癌和胰腺导管内乳突状黏液癌,前者恶性程度高,后者发展缓慢。术后定期的随访和影像学检查是诊断的关键因素和方法,同时影像学的可切除性评估是外科再次手术的重要条件,手术是病人获得根治性治疗的惟一方法。不过成功再次手术切除依肿瘤的不同、发现的早晚有明显差异,复发性胰腺黏液性腺癌再次手术切除率极低,而胰腺导管内乳突状黏液癌再次手术切除的可能性较大。
Pancreatic cystic tumor not only low incidence, but mostly benign lesions. Recurrence occurred in pancreatic mucinous adenocarcinoma and pancreatic ductal papillary mucinous carcinoma, the former high degree of malignancy, the latter developed slowly. Regular postoperative follow-up and imaging examination are the key factors and methods of diagnosis. At the same time, the resectability assessment of imaging is an important condition for surgical reoperation. Surgery is the only way for patients to get radical treatment. However, successful resection in accordance with the different tumors, found that there is a clear difference between morning and evening, recurrent pancreatic mucinous adenocarcinoma re-surgical resection rate is very low, and pancreatic ductal papillary mucinous carcinoma resectable surgery more likely.