胰腺囊实性乳头状瘤的临床特点  

Clinical Characteristics of Solid Cystic Papillary Tumor in Children

作　　者：侯翔宇[1] 李心元[1] 周新[1] 张可仞[1] 

机构地区：[1]中国医科大学盛京医院小儿外科,沈阳110004

出　　处：《实用儿科临床杂志》2006年第20期1432-1433,共2页Journal of Applied Clinical Pediatrics

摘　　要：目的 探讨小儿胰腺囊实性乳头状瘤（SCPT）的诊断与治疗的特点。方法 回顾分析近5年收治的7例SCPT患儿临床资料。男2例，女5例；平均11．5岁。病例均有诱因腹痛来诊，71．4％为腹部外伤，28．6％为过饱饮食后腹痛，查体以腹部包块为主。7例均经手术治疗，3例胰头肿瘤中2例行胰十二指肠切除术，1例仅行病理活检，4例胰尾肿瘤全部切除。结果 7例均一期愈合出院。随访4个月～4．5年，近期效果良好。术后病理确诊。结论 SCPT为低度恶性肿瘤，患儿平时无明显症状，有诱因后可引起突然腹痛，腹部可触及肿物为其特点，SCPT应早期手术切除肿瘤，术后近期效果满意。Objective To explore clinical characteristics of diagnosis and treatment of solid - cystic papillary tumor （SCPT） of the pancreas in children. Methods There were retrospectively analyzed about the 7 patients treated in our hospital for SCPT,with the average age of 11.5 years. All patients complained abdominal pain following a trauma（71.4% ） or overeating（28.6% ）. The main presentation was abdominal mass. Of the 7 patients, 4 received distal pancreatectomy, 2 pancreatico - duodenectomy, and 1 only biopsy. Results The nicks of all patients were primany hed. All patients were pathologically confirmed as SCPT after operation. All patients were followed up for 4 monthes to 4.5 years, the recent result was well. Conclusions SCPT is a low- grade malignant tumor, which is often asymptomatic, but the patients with symptoms generally suffer from an abdominal mass or abdominal pain. The prognosis is excellent after operation.

关 键 词：胰腺肿瘤 诊断 治疗 

分 类 号：R735.9[医药卫生—肿瘤]