摘要
目的 提高对小儿胰腺实性-假乳头状瘤的认识。方法 通过介绍2例小儿胰腺实性-假乳头状瘤的诊治经验,结合复习有关本病的文献报道加以总结。结果 本组2例患儿,均行手术治疗,效果满意。病理证实为胰腺实性-假乳头状瘤。通过有关文献复习,提高对本病的认识。结论 胰腺实性-假乳头状瘤多见于青少年和年轻女性,小儿约占1/3,较罕见。临床主要表现左上腹隐痛,偶有急性胰腺炎史。B超和CT扫描可发现胰腺囊实性占位性病变。手术依据肿瘤大小、部位与周围浸润程度,可选择肿瘤局部切除;胰体、尾切除;胰十二指肠切除。可达到满意的治疗效果。SPT具有独特的临床病理学特点,目前认为是一种原始胰腺上皮性肿瘤,有低度恶性倾向,预后良好。
Objective To enhance the recognition of solid-pseudopapillary tumor (SPT) of pancreas in children. Methods Two cases of SPT of pancreas in children were reported, and the literatures relative to the cases of SPT were reviewed. Results Satisfactory outcome was gotten in the two sick children by operation. The diagnosis was confirmed by pathologic examination. SPT of pancreas was a rare tumor, it was predominantly seen in juveniles and young females. One third of all cases occurred in children. The main clinical manifestation was the light pain in upper left abdomen, sometimes accompanied with acute pancreatitis. B ultrasonography and CT scanning were helpful to diagnosis. The best choice of treatment was whole tumor removal, including, pancreatic body and tail resection and pancreatoduodenectomy. Which kind of operation was selected based on the volume, the location and the invasion degree of the tumor. Conclusions SPT of pancreas has unique clinical pathologic feature. It is known as a primary pancreatic epithelial tumor. The excellent prognosis can be gotten by the tumor resection because of it's lower malignancy.
出处
《临床小儿外科杂志》
CAS
2003年第5期340-342,357,F003,共5页
Journal of Clinical Pediatric Surgery
