胰腺实性假乳头状瘤八例诊治体会  

Diagnosis and treatment of solid - pseudopapillary tumor of the pancreas： an analysis of 8 cases

作　　者：李俊[1] 薛新波[1] 申铭[1] 姜立[1] 陈堃[1] 郑建伟[1] 于愿[1] 肖朝文[1] 隋建[1] 张俊[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院胆胰外科,武汉430030

出　　处：《临床外科杂志》2010年第2期99-100,共2页Journal of Clinical Surgery

摘　　要：目的 探讨胰腺实性假乳头状瘤诊断、治疗及预后.方法 对我院2003年1月至2009年6月收治的8例患者的临床表现、影像学特征、病理结果、治疗和预后进行回顾性分析.结果 8例患者CT证实胰腺囊实性肿块或伴囊内钙化.所有患者均获得手术切除,术式包括胰十二指肠切除术、胰体尾和/或脾切除术、肿瘤局部切除.术后出现胰漏1例.术后随访1个月至6年,均未出现复发和转移.结论 胰腺实性假乳头状瘤是一种少见低度恶性肿瘤,多见于年轻女性,临床表现无特异性.CT等影像学表现具有相对特异性.术后病理仍是确定诊断的可靠依据.手术是最主要治疗方法,完整手术切除后预后良好.Objective To explore the diagnosis,treatment,prognosis of solid - pseudopapillary tumor of the pancreas （SPTP）. Methods The clinical, imaging, and pathological data of 8 SPTP patients who were admitted to our hospital from January 2003 to June 2009 were analyzed retrospectively. Results CT showed that all the 8 cases had solid cystic masses accompanying intracystic calcification or not. Laparotomy was performed in all the patients. Surgical procedures adopted included pancreaticoduodenectomy, spleen - preserving distal pancreatectomy, distal pancreatectomy alone or combined with splenectomy, and single tumorectomy. Pancreatic fistula postoperatively occurred in one patient. No recurrence or metastasis was found during the fellow - up periods （from 1 month to 6 years）. Conclusion SPTP is a rare tumor with low malignant potential and commonly occurs in the female. The symptoms of SPTP are unspecific. The imaging findings such as CT findings are of relative specificity. Pathological examination after the operation remains to be the most reliable diagnostic test. Surgery is the treatment of choice for SPTP and the prognosis is good when the tumor is completely resected.

关 键 词：胰腺实性假乳头状瘤 临床表现 诊断 治疗 

分 类 号：R735.9[医药卫生—肿瘤]