5例胰腺韧带样瘤的临床诊治分析

Clinical analysis of 5 cases of desmoid tumor of the pancreas

目的:总结胰腺韧带样瘤的临床特点及其诊断、治疗、预后。方法:回顾性分析我院2009年1月至2017年1月5例胰腺韧带样瘤患者的临床资料,研究其诊治特点和效果。结果:5例患者都进行手术治疗,所有手术均顺利完成,其中行胰十二指肠切除术3例,胰体尾脾切除术2例,术后出现胰瘘患者2例,随访时间内,失访1人,随访4人,无复发无转移及死亡病例。结论:胰腺韧带样瘤是一种罕见的纤维组织肿瘤,低度恶性,局部侵袭易复发,无转移,手术切除为首选治疗方法,术后辅以放疗可降低复发几率,术后需密切随访。

Objective:To summarize the clinical characteristics of pancreatic desmoids tumor and its diagnosis,treatment and prognosis.Methods:The clinical database of 5 patients with pancreatic desmoid tumor from January 2009 to January 2017 were retrospectively analyzed,and the diagnosis and treatment characteristics and effects were studied.Results:All the patients underwent surgical treatment.three patients underwent pancreaticoduodenectomy and two patients underwent distai pancreatectomy with spleenectomy procedure.There were 2 patients with pancreatic fistula after the operation.There was no recurrence,no metastasis and death cases.Conclusion:Pancreatic desmoid tumor is a rare fibrous tissue tumor,low degree of malignant,local invasion,easily to relapse,no metastasis,surgical resection for the preferred treatment.Radiotherapy can reduce the risk of recurrence,with postoperative follow-up.