胰腺实性假乳头状瘤的外科治疗

发表时间：2014-06-12 浏览次数：1148次

引用：

王崑，刘伟，刘铭等.胰腺实性假乳头状瘤的外科治疗.胰腺实性假乳头状瘤的外科治疗[J].中华普通外科杂志.2013, 28(3):219-221

关键词：

胰腺肿瘤; 消化系统外科手术; 诊断; 预后

作者：

王崑，刘伟，刘铭，包全，孙谊，王宏伟，金克敏，邢宝才

作者单位：

100142,北京大学肿瘤医院暨北京市肿瘤防治研究所肝胆外一科恶性肿瘤发病机制及转化研究教育部重点

出版年份：

2013

期刊页数：

219-221

收录者：

知网,万方

摘要：

目的探讨胰腺实性假乳头状瘤的诊断、外科治疗和预后.方法回顾性分析北京大学肿瘤医院2000年1月至2011年4月经手术治疗的54例胰腺实性假乳头状瘤患者的临床资料.结果 54例均获得手术切除,共实施胰十二指肠切除术10例,远端胰腺切除术24例,肿瘤局部切除13例,胰腺中段切除术7例.全部患者中11例因肿瘤侵犯周围脏器或出现远处转移诊断为恶性,5例患者出现转移复发,均再次手术切除,至今全部存活.结论胰腺实性假乳头状瘤多见于年轻女性,无特异性临床表现.其恶性程度较低,无论是第一次手术完整切除,还是复发转移再次手术,都可获得较好的预后. Objective To evaluate the diagnosis,treatment and prognosis of solid pseudopapillary tumors of the pancreas(SPTP).Method A retrospective study was made on 54 SPTP patients surgically treated from January 2000 to April 2011.Results All cases underwent tumor resection.Pancreaticoduodenectomy was performed in 10 cases,distal pancreatectomy was performed in 24 cases,segmental pancreatectomy was performed in 7 cases,tumor enucleation in 13 cases.In 11 cases malignancy was identified by tumor invasion of adjacent organs or distant metastasis,5 cases suffering from recurrence survived after reoperation.Conclusions SPTP is frequently found in young females,and has no specific clinical symptoms.Surgical resection is curative and prognosis is good for recurrent cases after reoperation.

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