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目的探讨胰腺实性假乳头状瘤(SPTP)的诊断、治疗和预后。方法回顾性分析2002年1月至2008年12月经手术治疗7例实性假乳头状瘤的临床资料。结果7例均获得手术切除,其中胰十二指肠切除术1例,胰体尾联合脾切除术2例,胰体尾切除1例,肿瘤局部切除3例,1例术后20d随访,余6例术后随访6～82个月,均未出现复发和转移。结论SPTP多见于年轻女性,无特异性临床表现。CT是重要的诊断方法。SPT的恶性程度较低,以手术切除为主,完整切除后预后良好。
Objective To investigate the diagnosis, treatment and prognosis of solid pseudopapillary tumor of pancreas (SPTP). Methods The clinical data of 7 patients with solid pseudopapillary neoplasm treated by surgery between January 2002 and December 2008 were retrospectively analyzed. Results All of the 7 patients underwent surgical resection. Among them, pancreatoduodenectomy was performed in 1 case, pancreatic body tail combined with splenectomy in 2 cases, pancreatic body tail resection in 1 case, tumor partial resection in 3 cases, and 1 case were followed up for 20 days 6 cases were followed up for 6 to 82 months, no recurrence and metastasis. Conclusion SPTP more common in young women, non-specific clinical manifestations. CT is an important diagnostic method. The degree of malignancy of SPT is lower, which is mainly surgically removed. The prognosis is good after complete resection.