胰腺实性假乳头状肿瘤11例的临床特点分析

 目的 探讨胰腺实性假乳头状瘤(sold-pseudopapillary tumor of pancreas,SPTP)的临床特点。方法 收集解放军中部战区总医院两院区2013-08至2020-07经手术病理证实的11例SPTP患者资料,回顾11例SPTP病例的临床、CT影像表现、治疗和随访。结果 患者最常见的症状是腹部不适、疼痛,11例中4例体检正常。肿瘤平均直径5.5 cm,最常见的肿瘤定位是胰腺的头部和体尾部,主要肿瘤大小范围3.0~12.9 cm。所有患者均行完全手术切除,所有病例均经免疫组化确诊。手术干预包括5例行胰-十二指肠切除,6例行胰腺体尾部切除。随访中未见转移和复发。结论 SPTP多见于年轻女性。临床表现不典型,CT检查在于发现一个巨大的、实性的、囊性的胰腺肿块。影像学检查可在手术前提供诊断信息。完全切除后的生存率通常都很高。

Clinical characteristics of solid pseudopapillary tumors of pancreas: a report of 11 cases

Objective To study the clinical characteristics of solid pseudopapillary tumors of the pancreas (SPTP).Methods The clinical data on eleven patients who had undergone surgery for pathologically confirmed SPTP in our hospital between August 2013 and July 2020 was collected. The clinical characteristics, data on CT images, treatment plans and follow-up of the eleven cases were analyzed.Results The most common symptoms were abdominal discomfort and pain, and four of the eleven cases had normal results of physical examination.The diameter of tumors, which were mainly located in the head ,the body and/or tail of the pancreas, averaged 5.5 cm (ranging from 3.0 to 12.9 cm). All the patients underwent complete surgical resection,including pancreaticoduodenectomy in 5 cases and distcel pancreatectomy in 6 cases. All these cases were confirmed by immunohistochemistry. During the follow-up, no metastases or recurrences were observed. Conclusions SPTP is more common in young women. The clinical manifestations are not typical. CT examination is based on the discovery of a large, solid, cystic pancreatic mass. Imaging tests can provide diagnostic information preoperatively. The survival rate after complete resection is satisfactory.