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Clinicopathological study of solid and pseudopapillary tumor of pancreas: Emphasis on magnetic resonance imaging findings
引用本文:Yu CC,Tseng JH,Yeh CN,Hwang TL,Jan YY. Clinicopathological study of solid and pseudopapillary tumor of pancreas: Emphasis on magnetic resonance imaging findings[J]. World journal of gastroenterology : WJG, 2007, 13(12): 1811-1815. DOI: 10.3748/wjg.v13.i12.1811
作者姓名:Yu CC  Tseng JH  Yeh CN  Hwang TL  Jan YY
作者单位:Department of Radiology Chang Gung Memorial Hospital Chang Gung University Kwei-shan,Department of Surgery Chang Gung Memorial Hospital Chang Gung University Kwei-shan,Department of Surgery Chang Gung Memorial Hospital Chang Gung University Kwei-shan,Taoyuan Taiwan China,Taoyuan Taiwan China,Taoyuan Taiwan China
摘    要:AIM: To report the clinicopathological features and magnetic resonance imaging (MRI) findings of solid and pseudopapillary tumor (SPT) of pancreas.METHODS: From 1981 to 2005, 26 surgically treated cases of SPT were retrospectively reviewed. MRI findings of the latest 11 consecutive SPT cases were investigated.RESULTS: There were 25 women and one man having SPT (median age: 23 year) with a median tumor size of 7.5 cm. Among them, nine patients developed solid pseudopapillary carcinoma. During the median follow-up period of 66 mo, the 5-year survival rate of the 26 SPT patients was 96.2%. Three MRI features were proposed including Type 1 image, displaying SPT with completely solid part. All SPT patients with type 1 image were detected incidentally. Type 2 image displays of SPT with solid mass hemorrhage and type 3 image with massive hemorrhage. All the eight SPT patients with type 2 and 3 images suffered abdominal pain due to hemorrhage from SPT.CONCLUSION: SPT had a favorable survival rate irrespective of surgical procedures, malignancy, and MRI findings, however, MRI could reliably correlate with its clinicopathological features.

关 键 词:胰腺肿瘤  实体瘤  假性乳头状瘤  临床病理研究  MRI  磁共振成像
收稿时间:2007-01-09

Clinicopathological study of solid and pseudopapillary tumor of pancreas: emphasis on magnetic resonance imaging findings
Yu Chi-Chang,Tseng Jeng-Hwei,Yeh Chun-Nan,Hwang Tsann-Long,Jan Yi-Yin. Clinicopathological study of solid and pseudopapillary tumor of pancreas: emphasis on magnetic resonance imaging findings[J]. World journal of gastroenterology : WJG, 2007, 13(12): 1811-1815. DOI: 10.3748/wjg.v13.i12.1811
Authors:Yu Chi-Chang  Tseng Jeng-Hwei  Yeh Chun-Nan  Hwang Tsann-Long  Jan Yi-Yin
Affiliation:1. Department of Surgery, Chang Gung Memorial Hospital,Chang Gung University, Kwei-shan, Taoyuan, Taiwan, China
2. Department of Radiology, Chang Gung Memorial Hospital, Chang Gung University, Kwei-shan, Taoyuan,Taiwan, China
Abstract:AIM: To report the clinicopathological features and magnetic resonance imaging (MRI) findings of solid and pseudopapillary tumor (SPT) of pancreas.METHODS: From 1981 to 2005, 26 surgically treated cases of SPT were retrospectively reviewed. MRI findings of the latest 11 consecutive SPT cases were investigated.RESULTS: There were 25 women and one man having SPT (median age: 23 year) with a median tumor size of 7.5 cm. Among them, nine patients developed solid pseudopapillary carcinoma. During the median follow-up period of 66 mo, the 5-year survival rate of the 26 SPT patients was 96.2%. Three MRI features were proposed including Type 1 image, displaying SPT with completely solid part. All SPT patients with type 1 image were detected incidentally. Type 2 image displays of SPT with solid mass hemorrhage and type 3 image with massive hemorrhage. All the eight SPT patients with type 2 and 3 images suffered abdominal pain due to hemorrhage from SPT.CONCLUSION: SPT had a favorable survival rate irrespective of surgical procedures, malignancy, and MRI findings, however, MRI could reliably correlate with its clinicopathological features.
Keywords:Solid and pseudopapillary tumor  Pancreas  Magnetic resonance imaging
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