胰腺实性假乳头状瘤的临床诊断及外科手术治疗

The diagnosis and surgical treatment of solid-pseudopapillary tumor of pancreas

目的分析研究胰腺实性假乳头状瘤患者的临床诊断和治疗措施。方法回顾性分析5例胰腺实性假乳头状瘤患者的临床资料。结果 5例患者中3例因触及上腹部包块就诊,1例有腹胀症状,1例无症状。肿瘤1例位于胰头部,2例位于胰体部,2例位于胰尾部,最大直径13cm,平均6.4cm。肿瘤标记物均无异常。5例患者全部接受手术切除治疗,术后随访1年,患者全部存活,无一例出现肿瘤转移或复发。结论胰腺实性假乳头状瘤手术切除可治愈且预后良好。B超、CT等对其诊断具有重要作用。

Objective To summarize the experience of diagnosis of solid pseudo-papillary tumor of pancreas（SPTP）.Methods 5 cases of SPTP diagnosed in our hospital were retrospectively analyzed.Results Epigastric pain was complained in 3 cases,abdominal aponia mass in 1 cases,1 cases of asymptomatic.Tumors located in the head of pancreas were found in 1 patients,2 patients in the body and 2 patients in the tail of pancreas.Maximal diameter is 13 cm and average of 6.4 cm.All 5 cases received surgical operation successfully,follow up of 1 year,no one appear tumor metastasis or recurrence.Conclusion Surgical resection results in a longterm survival.B ultrasound or CT guided fine needle aspiration and biopsy has important significance to preoperative diagnosis and surgical treatment.