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目的总结胰腺实性假乳头状肿瘤的诊治体会。方法回顾性分析1999年1月至2007年10月浙江大学医学院附属邵逸夫医院普外科及中国人民解放军117医院普外科诊治13例胰腺实性假乳头状肿瘤(SPT)的临床资料。结果13例均无特异性临床表现,以腹痛、腹部肿块为主。13例均行手术治疗。行胰十二指肠切除术6例,胰颈节段切除术1例,胰体尾加脾切除术2例,胰体尾切除术1例,腹腔镜胰体尾加脾切除术2例,胰体尾切除加肝脏结节活检及肝脏结节无水酒精注射、乙状结肠及降结肠部分切除术1例。12例术后恢复顺利,1例胰体尾切除术后发生胆胰瘘。10例随访均未发现肿瘤复发转移。结论SPT好发于年轻女性,属潜在恶性或低度恶性胰腺肿瘤,积极的手术治疗能获得良好预后。
Objective To summarize the diagnosis and treatment of solid pseudopapillary tumors of the pancreas. Methods The clinical data of 13 cases of solid pancreatic pseudopapillary tumor (SPT) diagnosed and treated in General Surgery of Run Run Run Shaw Hospital, Zhejiang University School of Medicine and 117th Hospital of People’s Liberation Army from January 1999 to October 2007 were retrospectively analyzed. Results No specific clinical manifestations in 13 cases, abdominal pain, abdominal mass mainly. Thirteen patients underwent surgical treatment. Pancreaticoduodenectomy in 6 cases, pancreatic segmentectomy in 1 case, pancreatic body tail plus splenectomy in 2 cases, pancreatic body tail resection in 1 case, laparoscopic pancreas plus splenectomy in 2 cases, One case of pancreatic body tail resection plus liver nodules biopsy and liver nodules anhydrous alcohol injection, sigmoid colon and descending colon partial resection. 12 cases recovered smoothly, 1 case of pancreatectomy after pancreaticoduodenectomy. No recurrence and metastasis was found in 10 cases. Conclusion SPT occurs in young women, which is a potential malignant or low-grade pancreatic tumor. Positive surgical treatment can achieve a good prognosis.