胰腺实性假乳头状瘤的临床诊治体会

Clinical Diagnosis Experience of Solid Pseudopapillay Tumor of the Pancreas

目的探讨胰腺实性假乳头状瘤（SPTP）的诊断、治疗和预后。方法回顾性分析我院2001年1月~2009年12月经手术治疗7例实性假乳头状瘤的临床资料。结果 7例均获得手术切除,其中胰十二指肠切除术1例,远端胰腺切除术1例,肿瘤局部切除5例,病人术后随访5～96个月,均未出现复发和转移。结论 SPTP多见于年轻女性,无特异性临床表现。CT是重要的诊断方法。SPT的恶性程度较低,经手术治疗预后良好。

Objective To investigate the diagnosis,treatment and prognosis of solid pseudopapillary tumors of the pancreas（SPTP）. Method The clinical data of 7 patients admitted from Jan 2001 to Dee 2009 undergoing operation were analyzed retrospectively. Results All cases underwent tumor resection. Pancreaticoduo- denectomy was performed in 1 case, distal pancreatectomy was performed in 1 cases, while 5 patients underwent simple resection of tumor. All cases were followed up for 5 months to 96 months with no recurrence and no metastasis. Conclusions SPTP is frequently found in young females, and has no specific clinical symptoms. CT is an important diagnostic method. Because of low grade malignant potential of the SPTP, surgery is the first choice of treatment,the prognosis is good if the tumor is resectod completely.