胰腺实性假乳头状瘤临床诊治研究.docVIP

胰腺实性假乳头状瘤临床诊治研究【摘要】 目的 总结并探讨胰腺实性?假乳头状瘤的临床特点、诊断、治疗经验以及患者的预后情况。方法 回顾性分析11例胰腺实性?假乳头状瘤患者的临床资料、治疗情况、术后并发症以及患者预后情况。 结果 11例患者均出现临床表现或临床体征而就诊；肿瘤位于胰头1例，胰体为2例，8例位于胰尾部;所有病例均经过术后病理确诊，手术切除是其主要的治疗方法，且预后好，无死亡病例，生活质量未受影响。结论 胰腺实性?假乳头状瘤多见于青年女性，主要以手术切除治疗，预后良好。? 【关键词】 胰腺实性?假乳头状瘤；治疗；诊断；预后 Analysis of clinical diagnosis and therapy of solid?pseudopapillary tumor of the pancreas? ZHONG Peng?feng，CAO Jie,LIU Zhen?bang,et al. Lvtian hospital of Conghua,Guangzhou 510950,China ? 【Abstract】 Objective To summarize and explore the experience of diagnosis，therapy and prognosis in solid?pseudopapillary tumor of the pancreas? Methods The clinical data，treatment，postoperative complications and prognosis of the 11 cases were retrospectively studied? Results All of the cases were founded because of clinical complaints? There was only one case whose tumor located in the pancreatic head，2 cases in the body，others were in tail? All of the cases were proved by the pathology? And resection was considered to be the optimal choice for SPTP? It had a favourable prognosis? There was no fatal case? And the quality of life were not affected? Conclusion Surgical treatment is the best management for the patients，solid?pseudopapillary tumor of the pancreas is affecting primarily young women? and it has satisfying prognosis?? 【Key words】 Solid?pseudopapillary tumor of the pancreas; Treatment; Diagnosis; Prognosis 胰腺实性?假乳头状瘤(solid?pseudopapillary tumor of the pancreas,SPTP)是一种罕见的肿瘤，来源于胰腺，并具有恶性潜能的肿瘤,好发于年轻女性??［1］?。胰腺实性?假乳头状瘤是Franz于1959年首先报道??［2］?。目面前WHO将SPTP大多归为交界性或具有一定恶性潜能的肿瘤??［1］?，并于1996年命名为胰腺实性?假乳头状瘤；由于患者临床表现缺乏特异性，因此术前诊断常出现误诊或诊断不明。近年来越来越多病例报道，并对这疾病的认识也逐渐深入。本文总结广州市第一人民医院近6年来收治的11例SPTP临床资料，并对SPTP的诊治进行分析。? 1 临床资料? 1?1 一般资料 病例来自于广州市第一人民医院2004年8月至2010年5月术后病理确诊为胰腺实性?假乳头状瘤的患者资料，患者全部为女性，平均年龄26?7岁(14~37岁)，其中4例年龄 3 治疗? 3?1 治疗情况 所有患者均接受手术切除治疗，手术过程中均未见腹腔、肝脏等转移。位于胰头部的1病例行胰十二指肠切除术,位于胰体2例和位于胰尾的4例均行肿瘤局部切除术，位于胰尾的3例行肿瘤切除术+胰尾切除术，位于胰尾的1例与脾门粘连紧密，行肿瘤切除+胰尾切除+脾切除术，该例病例术中曾输血治疗，余病例无输血。术