摘要
目的:总结胰腺实性假乳头状瘤(SPTP)的临床特点及手术治疗方法.方法:回顾性分析聊城市人民医院自2001-01/2008-04收治的11例SPTP患者的临床资料,主要包括临床表现、B超及CT检查、手术方式、病理检查结果及出院后随访情况.结果:除2例患者表现为急性腹痛外其余患者均无特异性临床表现.肿瘤多位于胰体尾部.B超检查表现为实性或囊实性低回声肿物;CT平扫表现为胰腺低密度肿物,增强CT扫描则表现为肿瘤周边不均匀增强.除1例患者外其余病例肿瘤标志物均正常.11例患者均采用手术治疗且10例患者获得随访资料,平均随访23.7mo,所有患者均未发现复发转移.结论:SPTP是一种罕见的胰腺低度恶性肿瘤,多发于青年女性,手术治疗能取得良好的疗效.
AIM： To summarize the clinical features of and surgical treatment for solid pseudo-papillary tumor of the pancreas （SPTP）. METHODS： Eleven cases of SPTP diagnosed between January 2001 and April 2008 in our hospital were retrospectively analyzed. The main indicators included clinical features, B ultrasound and CT scan characteristics, pathological results and follow-up, etc. RESULTS： Two cases of tumors were located in the pancreatic head, one tumor was in the neck of pancreas and 8 tumors were in the body and tail of pancreas. There were no specific clinical manifestations except 2 cases with acute abdominal pain. Solid and solid-cystic masses of low echo were found in pancreas under ultrasonic examinations. CT scan showed masses of low density in pancreas, while irregular en- hancement appeared in the circumference of all tumors in enhanced CT scan sequences. Tumor markers in patients＇ serum were all negative except one case. Pancreaticoduodenectomy was performed on 3 cases. Simple resection of tumor was performed on 3 cases. Five patients underwent distal pancreatectomy and spleen resection. Ten patients were followed up with the average time of 23.7 months. No evidence of relapses and metastasis in these cases was found. CONCLUSION： Solid pseudo-papillary tumor of pancreas is one of rare pancreatic neoplasm with low malignant potential, affecting primarily young women. Patients with SPTP have a favorable outcome after surgical treatment.
出处
《世界华人消化杂志》
CAS
北大核心
2008年第30期3457-3459,共3页
World Chinese Journal of Digestology
关键词
胰腺肿瘤
实性假乳头状瘤
诊断
治疗
Pancreatic neoplasms
Solid pseudo- papillary tumor
Diagnosis
Treatment
