摘要
目的探讨异位胰腺诊断治疗特点。方法收集2006年7月至2007年12月间经EUS诊断或术中偶尔发现的异位胰腺资料共62例，按处理方法不同，分为4组。A组：37例经EUS诊断的异位胰腺（〈19mm），均未活检或手术治疗，每3个月进行电话随访；B组：8例经EUS诊断为疑似异位胰腺的上皮下病变，因病变相对较大或性质难以确定而建议手术治疗；C组：8例因其他疾病手术，术中意外发现肿块；D组：9例为恶性肿瘤手术切除。对其诊断、处理和随访结果进行分析。结果62例异位胰腺的发生部位以胃窦部最多（35例，56．5％），均为单发，平均大小（9．2±5．4）mm。A组37例均无症状，其中10例经内镜复查，病变大小无改变；B组8例病理证实均为异位胰腺；C组8例经切除和病理证实为异位胰腺；D组9例为标本中偶然发现的异位胰腺。结论异位胰腺相对常见，临床只能检出其中一部分。异位胰腺极少恶变，多数异位胰腺无症状，EUS诊断的异位胰腺适合随访观察，不必急于手术切除。
Objective To evaluate the diagnosis and management of ectopic pancreas. Methods The clinical data of 62 cases of ectopic pancreas, which were diagnosed by endoscopic ultrasonography （EUS） or pathologic findings between July 2006 and December 2007 were retrospectively analyzed. The cases were divided into 4 groups according to different ways of management. Group A included 37 patients, who were diagnosed as having ectopic pancreas （ 〈 19mm） by EUS only and were followed up via phone call every 3 months. Eight patients in group B were diagnosed by EUS as having submueosal lesions suspected as ectopic pancreas, and underwent operation because of large size or difficulty in diagnosis. Eight patients in group C received operation for other diseases and the ectopic pancreases were found in operation. Group D included 9 patients who underwent surgery due to malignant tumors. Results Ectopic pancreas were most commonly found as a single lesion in gastric antrum （35/62,56. 5% ） with mean size of 9. 2 ± 5.4 mm. All patients in group A were asymptomatic, of which 10 received followed-up endoscopy and no changes in size of the lesion were found. All patients in group B, C and D were diagnosed as ectopic pancreas pathologically. Conclusion Ectopic pancrea is relatively common and asymptomatic, only part of them could be diagnosed clinically. Carcinoma arising from the ectopic pancreas is rare and lesion of small size diagnosed by EUS could be followed up endoscopically.
出处
《中华消化内镜杂志》
北大核心
2009年第2期69-72,共4页
Chinese Journal of Digestive Endoscopy
基金
上海市重点学科建设项目资助（编号：Y0205）
关键词
异位
胰腺
内窥镜超声检查
随访
Heterotopic
Pancreas
Endoscopic ultrasonography
Notification
