胰腺实性假乳头状瘤临床诊治分析  

Diagnosis and treatment of solid pseudopapillary tumors of the pancreas

作　　者：宋禾[1] 董明[1] 周建平[1] 孔凡民[1] 李新[1] 田雨霖[1] 

机构地区：[1]中国医科大学附属第一医院普外科,沈阳110001

出　　处：《中华普通外科杂志》2016年第1期1-3,共3页Chinese Journal of General Surgery

摘　　要：目的探讨胰腺实性假乳头状瘤的临床特点及诊断治疗。方法回顾性分析中国医科大学附属第一医院2004--2014年收治的40例胰腺实性假乳头状瘤病例。结果40例患者中，男女比例为1：7，平均年龄33．8岁。主要临床表现为上腹部疼痛、腹胀不适。cT检查和MRI检查对肿瘤位置判断的准确率高于超声。治疗术式包括保留脾脏胰体尾切除术15例，胰体尾、脾切除术9例，肿瘤摘除术11例，胰十二指肠切除术3例，保留十二指肠的胰头切除术2例。30例获得随访，中位随访时间58．4个月，均生存良好。结论胰腺实性假乳头状瘤是一种具有低度恶性潜能的肿瘤。具有胰腺囊实性较大肿物的年轻女性应该高度怀疑此疾病。手术为其主要治疗方式，预后良好。Objective To explore the pseudopapillary tumors of the pancreas （SPTP）. clinical charateristics, diagnosis and treatment of solid Methods 40 SPTP cases admitted in the First Hospital of China Medical University from 2004 to 2014 were analyzed retrospectively. Results Among 40 cases, male to female ratio was 1 ： 7 with the average age of 33.8 years. Major clinical manifestations included abdominal pain or discomfort and palpable abdominal masses. CT and MRI accuracy for detecting the location of tumors was better than B Ultrasonic. Surgical procedure included spleen preserving distal pancreatectomy in 15 cases, distal pancreatectomy with splenectomy in 9 cases, tumor enucleation in 11 cases, pancreaticoduodenectomy in 3 cases, duodenum preserving pancreas head resection in 2 cases. 30 postoperative cases were followed-up with the mean follow-up time of 58.4 months and were all doing well. Conclusions SPTP is a tumor with low-grade malignant potentiality. Cystic and solid tumors of the pancreas found among young women are highly suspected as SPTP. Surgery is the main method of treatment and the prognosis is good.

关 键 词：胰腺肿瘤 胰腺切除术 预后 

分 类 号：R735[医药卫生—肿瘤]