Summary:
New sophisticated surgical methods enabled interventions on pancreas which kept remaining
without attention of gastrointestinal surgeons for a long time because of previously unsolvable
reasons. Pancreatic resection specimens enter now the biopsy diagnostics the correct interpreta-
tion of which needs a perfect technology of processing. Biopsy under CT monitoring, fibroscopical
techniques combined with contrast investigation, biochemical, cytological and bioptic analyses of
samples brought new diagnostic aspects into pancreatic disorders. The authors present a classifi-
cation analysis based on their group of 172 resection specimens from 165 patients : tumor lesions
are represented by 52 specimens, inflammatory lesions by 112 specimens, 8 cases are of another
nature or are lacking in a clear diagnostic classification. Bioptic investigation can settle the
diagnosis of very rare nosological entities which were distinguished before only in necroptic
material (adult nesidioblastosis, Schwachman-Diamond syndrome associated with ductal carcino-
ma of the head of pancreas, and others).
Key words:
pancreas - resection specimens - inflammations - tumors - rare diseases - bioptic
diagnostics
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