胰腺实性假乳头状瘤38例临床分析

目的 探讨胰腺实性假乳头状瘤的临床特点.方法 回顾分析38例胰腺实性假乳头状瘤的临床资料,结合文献加以讨论.结果 临床表现以腹部疼痛、不适或包块多见.肿瘤发生于＜10岁1例,11～20岁11例,21～30岁7例,31～40岁9例,41～50岁5例,50岁以上1例.免疫组化染色CgA（＋）6例,Vim（＋）29例,AAT（＋）29例,Syn（＋）21例,CD10（＋）34例,CD56（＋）37例,Ki-67（＋）36例,PR（＋）38例.结论 胰腺实性假乳头状瘤与性激素有密切关系,细胞来源可能与生殖系统有关.

Clinical analysis of 38 cases solid pseudo-papillary tumor of pancreas

Objective To clarify the clinical features of solid pseudo-papillary tumor of pancreas. Methods Clinical data of 38 patients with solid pseudo-papillary tumor of pancreas were analyzed retrospectively. Results The clinical manifestations included a palpable abdominal mass, abdominal pain and discomfort. Tumor occured in 1 case younger than 10 years old, 11 cases between 11 years old and 20 years old, 7 cases between 21 years old and 30 years old, 9 cases between 31 years old and 40 years old, 5 cases between 41 years old and 50 years old and 1 case older than 50 years. Immunohistochemistry staining showed CgA( + ) in 6 cases,Vim( + )in 29 cases,AAT( + ) in 29 cases,Syn( + ) in 21cases,CD10( + ) in 34 cases,CD56( + ) in 37 cases, Ki-67 ( + ) in 36 cases and PR( + ) in 38 cases. Conclusion Solid pseudo-papillary tumor of pancreas is closely associated with gonadal hormone and reproductive system.