摘要
目的探讨胰腺实性假乳头状瘤的临床病理学特点和外科治疗方法。方法回顾性分析2004年1月至2006年6月第二军医大学长海医院收治的11例胰腺实性假乳头状瘤的临床资料。结果11例中，男1例，女10例，年龄12～56岁，平均27．1岁。肿瘤位于胰头部6例，胰颈2例，胰体尾3例。行胰十二指肠切除术4例，其中1例合并部分肠系膜上静脉切除重建；行联合十二指肠第三、四段切除的胰腺钩突切除术2例；行中段胰腺切除、胰肠吻合2例；胰体尾、脾切除术2例，保留脾脏的胰尾切除术1例。肿块长径平均（6．8±3．1）cm。术后所有病例均存活。结论胰腺实性假乳头状瘤是一种多发于青年女性的良性或低度恶性肿瘤，临床少见。首选积极的手术切除治疗，预后良好。
Objective To investigate clinicopathological features and surgical treatment of Solid-pseudopapillary tumors of pancreas, Methods We retrospectively reviewed a series of 11 patients with solid-pseudopapillary tumors of pancreas admitted from 2004 to 2006, Results The lesions were located in the head of pancreas in 6 patients and in the body and tail in 5, Surgical procedures included pancreaticoduodenectomies in 4, pancreatic uncinate process resection with third, fourth-portion duodenectomy in 2, distal pancreatectomy with splenectomy in 2, and distal pancreatectomy in 1, The mean tumor size was 6.8 cm （4 - 15 cm）. Follow-up suggested that all patients were alive, Conclusion Solid-pseudopapillary tumors of pancreas are rare tumors that behave less aggressively than other pancreatic tumor. Aggressive surgery remains the choice of treatment. Favorable prognosis may achieve after complete surgical excision.
出处
《中国实用外科杂志》
CSCD
北大核心
2007年第5期398-400,共3页
Chinese Journal of Practical Surgery
关键词
胰腺肿瘤
实性假乳头状瘤
胰十二指肠切除术
pancreatic neoplasms
solid-pseudopapillary tumors
pancreaticoduodenectomy
