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为了探讨胰腺实性假乳头状肿瘤(SPN)的临床特点、治疗及预后,回顾性分析我院收治的9例SPN患者各项临床资料,并结合相关文献总结报道。9例患者中6例因腹痛或腹部不适就诊,3例患者则是体检时B超发现胰腺肿块。B超、CT或MR均能显示胰腺有不同程度囊性病变常伴有带包膜的肿块。肿瘤的平均直径约5.8cm(4～11cm)。平均随访16.8个月,除1例随访10个月后死于肿瘤复发,其余患者存活。回顾性分析发现,SPN是一种好发于年轻女性的潜在恶性肿瘤,外科手术是首选的治疗方法,通常能获得一个较好的预后。
In order to investigate the clinical features, treatment and prognosis of solid pseudopapillary tumor (SPN) in pancreas, the clinical data of 9 patients with SPN treated in our hospital were retrospectively analyzed and reported with relevant literature. Six of the nine patients were referred for abdominal pain or abdominal discomfort, and three of the nine patients were found to have a B-scan of the pancreas on examination. B ultrasound, CT or MR can show different degrees of pancreatic cystic lesions often accompanied by enveloping lumps. The average tumor diameter of about 5.8cm (4 ~ 11cm). The patients were followed up for an average of 16.8 months. One patient died of tumor recurrence after 10 months of follow-up. The remaining patients survived. Retrospective analysis found that SPN is a potential malignant tumor that occurs in young women. Surgery is the preferred method of treatment and often leads to a better prognosis.