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目的总结胰腺实性假乳头状瘤再次手术病例的诊断和治疗经验。方法回顾性分析2002年12月至2011年12月期间笔者所在医院收治的4例胰腺实性假乳头状瘤再次手术患者的临床资料。结果 4例患者均行手术治疗,术后恢复良好,随访时间3个月～8年,平均47个月。至2012年3月,3例患者分别无瘤生存3个月、3个月以及8年;1例患者于术后8年死于营养吸收障碍,死亡时无肿瘤复发。结论胰腺实性假乳头状瘤具有低度恶性倾向,以局部复发为主,远处转移少见。手术是复发、转移病例的最佳选择,具有较好疗效。
Objective To summarize the diagnosis and treatment experience of reoperation of solid pseudopapillary tumor of pancreas. Methods The clinical data of 4 patients with recurrent pancreatic pseudopapillary neoplasms who underwent surgery at our hospital from December 2002 to December 2011 were retrospectively analyzed. Results All the 4 patients underwent surgical treatment. The patients recovered well after 3 months to 8 years (mean, 47 months). By March 2012, 3 patients survived 3 months, 3 months, and 8 years without tumor, one patient died of nutritional impairment 8 years after operation, and no tumor recurrence occurred at the time of death. Conclusions Solid pseudopapillary pancreatic tumors have a low malignant tendency, mainly local recurrence and distant metastasis. Surgery is the best choice for recurrent and metastatic cases and has good curative effect.