胰腺实性假乳头状瘤10例临床诊治分析  

Diagnosis and treatment of solid-pseudopapillary tumor of pancreas： 10 cases

作　　者：杨永生[1] 李航[1] 刘宏宇[1] 宣威[1] 张丹[1] 张学文[1] 

机构地区：[1]吉林大学中日联谊医院肝胆胰外科,长春130031

出　　处：《中华内分泌外科杂志》2011年第5期327-328,342,共3页Chinese Journal of Endocrine Surgery

基　　金：吉林省科技厅应用基础项目（200905160）

摘　　要：目的探讨胰腺实性假乳头状瘤的诊治方法，以提高对该病诊治的认识。方法回顾性分析自2003年2月至2009年2月吉林大学中日联谊医院收治的10例胰腺实性假乳头状瘤临床资料。结果10例均行腹部超声检查，诊断符合率为30％；6例行腹部CT检查，确诊率为16．7％。10例均行手术治疗，术后1例出现胰瘘。随访3～70个月无复发。结论胰腺实性假乳头状瘤临床发病率较低，多发于年轻女性，无特异性临床表现，影像学检查对其诊断有指导意义。肿瘤可生长于胰腺各个部位。治疗首选手术切除，根据肿瘤的位置、生长及侵袭方式决定手术方式，如术中快速冰冻切片病理结果考虑癌变则需要适当扩大手术范围。Objective To explore the diagnosis and treatment of solid-pseudopapillary tumor of pancreas （SPTP）. Methods The clinical data of 10 cases of SPTP treated from Feb. 2003 to Feb. 2009 in China-Japan Union Hospital of Jilin University were retrospectively analyzed. Results All the 10 cases underwent abdominal ultrasound examination and the accurate rate was 30% , and 6 of them underwent abdominal CT examination as well and the diagnosis accurate rate was 16.7%, All patients underwent surgery and pancreatic fistula occurred in 1 case after operation. There was no recurrence during the postoperative follow-up of 3-70 months. Conclusions SPTP has a low clinical incidence and it is frequently seen in young females. SPTP has no specific clinical manifestation. Imaging examinations play important roles in its diagnosis. SPTP can be found in any part of the pancreas. Resection is the first choice of treatment. The surgery extent depends on the position of SPTP and its surrounding tissues. If the intraoperative pathological examination shows the possibility of malignancy, radical surgery resection should be considered.

关 键 词：胰腺实性假乳头状瘤 

分 类 号：R735.9[医药卫生—肿瘤]