胰腺实性假乳头状瘤的诊治分析  

Analysis of diagnosis and treatment of solid-pseudopapilIary tumor of pancreas

作　　者：胡元国[1] 王成[1] 邵峰[1] 邱陆军[1] 黄强[1] 

机构地区：[1]安徽省立医院普外科,合肥230001

出　　处：《肝胆外科杂志》2013年第4期270-272,共3页Journal of Hepatobiliary Surgery

摘　　要：目的回顾18例胰腺实性假乳头状瘤（SPPT）的临床病理特点及治疗，以求建立最佳诊断方法及手术治疗方案。方法回顾近12年18例SPVT患者的术前、手术、术后资料，包括年龄、性别、症状体征、实验室检查、手术、病理及复发和预后情况。结果18例患者中女性16例，男性2例，平均年龄30．9岁。所有患者均没有特异的实验室检查阳性结果，肿瘤标记物均基本正常。17例患者均获得手术切除肿瘤。平均术后住院日10．7d，（随访时间3—113个月）。切除患者均无复发。术前影像学中肿瘤的大小、包膜、囊实性比例同胰腺实性假乳头状瘤的良恶性无明显关系。结论该研究证实SPPT是多发于青年女性的少见肿瘤。手术切除是治愈该疾病的治疗方式。Objectives To examine the elinieopathological characteristics and treatment of 18 patients with Solid pseudopapil- lary of the pancreas （SPPT）, to establish the optimal diagnostic method and surgical management. Methods We reviewed the pre-, intra- and postoperative data on 18 patients with SPPT who underwent resection during a 12-year period. Data including demographic information, presenting symptoms and signs, laboratory studies, extent of operation, histology, recurrence and prognosis were evalua- ted. Results 16 of all 18 patients were women. The other 2 cases are men. The mean age is 30. 9. All 18 cases have not been associ- ated with specific clinical laboratory test findings including serum tumor markers. CT and ultrasound can find the tumor in all 18 pa- tients. 17 cases of SPPT were resected. Mean postoperative hospital stay was 10. 7 days. Patients with tumor resected are alive and well without recurrence, with a follow-up range 3 - 113 months. The diameter of tumor, the percents of solid substance and the capsule are not associated with malignant solid-pseudopapillary tumor of pancreas. Conclusions This study demonstrated that SPPT are uncom- mon, usually occur in a young woman. Patients required major pancreatic resection to cure the disease. Surgery is curative regardless of the size or location of the tumor.

关 键 词：胰腺实性假乳头状瘤 诊断 治疗 

分 类 号：R735.9[医药卫生—肿瘤]