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目的:探讨胰腺实性假乳头状瘤(solid pseudopapillary tumor of pancreas,SPTP)的诊断和治疗方法。方法:回顾性分析上海市第一人民医院在2006年6月-2011年11月年收治的8例SPTP病人的临床表现和影像学检查、治疗的情况,其中小儿2例,成人6例。结果:有7例女性病人,1例男性病人,有腹痛或无特异性临床表现。所有病例均进行CT检查。肿瘤位于胰腺头部1例,胰腺颈部2例,位于胰体尾5例。1例行胰十二指肠切除术,2例行胰腺颈部节段性切除术,4例行胰体尾切除+脾切除术,1例行胰体尾切除术(保留脾脏),手术顺利,术后无并发症发生。随访时间4-56月,无复发和转移。结论:胰腺实性假乳头状瘤是一种较罕见的肿瘤,多发于年青女性。CT有助于该病的诊断。手术切除是该病的主要治疗手段,并可获得良好的预后。
Objective: To investigate the diagnosis and treatment of solid pseudopapillary tumor of pancreas (SPTP). Methods: The clinical manifestations, imaging examination and treatment of 8 SPTP patients admitted to Shanghai First People’s Hospital from June 2006 to November 2011 were retrospectively analyzed. Among them, 2 were children and 6 were adults. Results: There were 7 female patients and 1 male patient with abdominal pain or no specific clinical manifestations. CT examination was performed in all cases. Tumor in the head of the pancreas in 1 case, 2 cases of pancreatic neck, located in 5 cases of pancreatic body tail. 1 cases underwent pancreaticoduodenectomy, 2 cases underwent segmental resection of the pancreas, 4 cases underwent pancreatectomy and splenectomy, 1 case underwent pancreaticotomized resection (spleen preserved), the operation was successful No postoperative complications occurred. Follow-up time 4-56 months, no recurrence and metastasis. Conclusions: Solid pseudopapillary pancreatic tumors are a rare type of tumor and occur frequently in young women. CT helps diagnose the disease. Surgical resection is the main treatment of the disease, and get a good prognosis.