青少年胰腺实性假乳头状瘤临床特点及预后分析  

Analysis of clinical characteristics and prognosis of minor solid pseudopapillary tumor of the pancreas

作　　者：田伟[1] 武飚[1] 武苗[2] 杨军凯[1] 张章[1] 

机构地区：[1]山西省太原市中心医院普外二科,030009 [2]山西省太原市中心医院麻醉科,030009

出　　处：《肿瘤研究与临床》2012年第7期469-471,474,共4页Cancer Research and Clinic

摘　　要：目的探讨青少年胰腺实性假乳头状瘤（SPTP）疾病特点、治疗方法及预后。方法回顾性分析4例青少年SPTP病例的临床表现、病理特点、号性激素受体及生长发育的关系、治疗方法及预后，并结合文献进行讨论。结果青少年SPTP患者的临床表现与成年患者大致相同，但表现出明显的生长发育障碍，如本组病例中患者的第二性征发育迟滞等表现。手术切除肿瘤后生长发育迟缓可得到逆转。治疗方法为保证肿瘤完整切除的前提下保留尽可能多的脏器，以减少对术后生长发育的影响。本组4例患者手术治疗的前提均为手术创伤最小化。预后目前尚无定论。结论青少年SPTP患者的诊治应充分考虑到患者的未成年人特点，以保证其术后继续生长发育及长期生活质量。Objective To investigate the characteristics, treatment and prognosis of solid pseudopapillary tumor of the pancreas （SPTP） in the minor. Methods Combining minor SPTP cases in literatures and 4 cases, analyzed the clinical and pathological features, and the relationship with sex hormone receptors, the growth and development, treatment and prognosis. Results The clinical manifestations of SPTP in minor were same as adults, but the minors showed significant growth retardation which can be reversed after the tumor surgical removal, like 4 patients all showed secondary sex characteristics of retardation in the group. The protocol of surgical treatment was to ensure complete removal of the tumor and keep the healthy organs as much as possible which reduced the impact to the postoperative growth and development.The premise of operation therapy in the 4 cases was minimization of operation trauma. Minor SPTP prognosis had not been determined. Conclusion The diagnosis and treatment of minor SPTP should be fully taken into account the characteristics of the minor to ensure that patients can continue long-term growth and development and the quality of life.

关 键 词：青少年 胰腺 乳头状瘤 预后 

分 类 号：R735.9[医药卫生—肿瘤]