胰腺囊实性乳头状瘤的临床特点

目的探讨小儿胰腺囊实性乳头状瘤(SCPT)的诊断与治疗的特点。方法回顾分析近5年收治的7例SCPT患儿临床资料。男2例,女5例;平均11.5岁。病例均有诱因腹痛来诊,71.4%为腹部外伤,28.6%为过饱饮食后腹痛,查体以腹部包块为主。7例均经手术治疗,3例胰头肿瘤中2例行胰十二指肠切除术,1例仅行病理活检,4例胰尾肿瘤全部切除。结果7例均一期愈合出院。随访4个月~4.5年,近期效果良好。术后病理确诊。结论SCPT为低度恶性肿瘤,患儿平时无明显症状,有诱因后可引起突然腹痛,腹部可触及肿物为其特点,SCPT应早期手术切除肿瘤,术后近期效果满意。

Clinical Characteristics of Solid Cystic Papillary Tumor in Children

Objective To explore clinical characteristics of diagnosis and treatment of solid-cystic papillary tumor(SCPT) of the pancreas in children.Methods There were retrospectively analyzed about the 7 patients treated in our hospital for SCPT,with the ave-rage age of 11.5 years.All patients complained abdominal pain following a trauma(71.4%) or overeating(28.6%).The main presentation was abdominal mass.Of the 7 patients,4 received distal pancreatectomy,2 pancreatico-duodenectomy,and 1 only biopsy.Results The nicks of all patients were primany hed.All patients were pathologically confirmed as SCPT after operation.All patients were followed up for 4 monthes to 4.5 years,the recent result was well.Conclusions SCPT is a low-grade malignant tumor,which is often asymptomatic,but the patients with symptoms generally suffer from an abdominal mass or abdominal pain.The prognosis is excellent after operation.