胰腺实性假乳头状肿瘤的诊断和治疗

目的 总结胰腺实性假乳头状肿瘤的诊治体会。 方法 回顾性分析1999年1月至2007年10月浙江大学医学院附属邵逸夫医院普外科及中国人民解放军117医院普外科诊治13例胰腺实性假乳头状肿瘤（SPT）的临床资料。 结果 13例均无特异性临床表现，以腹痛、腹部肿块为主。13例均行手术治疗。行胰十二指肠切除术6例，胰颈节段切除术1例，胰体尾加脾切除术2例，胰体尾切除术1例，腹腔镜胰体尾加脾切除术2例，胰体尾切除加肝脏结节活检及肝脏结节无水酒精注射、乙状结肠及降结肠部分切除术1例。12例术后恢复顺利，1例胰体尾切除术后发生胆胰瘘。10 例随访均未发现肿瘤复发转移。 结论 SPT好发于年轻女性，属潜在恶性或低度恶性胰腺肿瘤，积极的手术治疗能获得良好预后。

Diagnosis and treatment of solid-pseudopapillary tumor of pancreas

Diagnosis and treatment of solid-pseudopapillary tumor of pancreas ZHANG Ren-chao*, MOU Yi-ping, JIANG Chao-hui, et al．*Department of General Surgery, the 117th Hospital of PLA, Hangzhou 310013, China Corresponding author：MOU Yi-ping，E-mail：mouyiping@yahoo.com.cn Abstract Objective To analyze the diagnosis and treatment of solid-pseudopapillary tumor of pancreas（SPT）．Methods The clinical data of 13 cases of SPT admitted from January 1999 to October 2007 in the Department of General Surgery of Sir Run Run Shaw Hospital (Medical College of Zhejiang University) and Department of General Surgery of the 117th Hospital of the PLA were analyzed retrospectively．Results All the cases were female with the mean age of 32 years old．SPT had no specific clinical symptoms．Abdominal pain and space occupying symptoms were the mostly symptoms．All the cases received operation．Operative procedure included pancreaticoduodenectomy in 6 cases, pancreatic neck segmentectomy in 1 case, distal pancreatectomy in 1 case, distal pancreatectomy with splenectomy in 2 cases, laparoscopic distal pancreatectomy with splenectomy in 2 cases , distal pancreatectomy, sigmoid colectomy and ethanol injection of liver nodulars in 1 case．Twelve cases recovered successfully after the operation. One case received distal pancreatectomy suffered from postoperative biliary and pancreatic fistula．Ten cases were followed up without tumor recurrence．Conclusion SPT is a special type of pancreatic tumor with low degree malignancy, affecting in young women predominantly．Aggressive surgery could get good prognosis．