50例胰腺实性假乳头状瘤的临床诊治分析

发布时间：2018-04-03 01:27

本文选题：实性假乳头状瘤　切入点：病理特点　出处：《中国肿瘤临床》2017年04期

【摘要】：目的:探讨胰腺实性假乳头状瘤的临床特点、影像学表现、病理特征、治疗方法与预后情况,为进一步提高其诊疗水平提供依据。方法:收集2011年1月至2016年10月天津医科大学肿瘤医院收治的50例胰腺实性假乳头状瘤患者的临床资料,回顾性分析其临床特征及诊治情况并行随访,对患者的病例资料、病理特征、诊疗方法和预后等进行总结。结果:50例患者年龄11~58岁,平均年龄(33±12)岁;临床表现多为查体发现腹部占位就诊。肿瘤多位于胰头部和体尾部。患者均行手术切除治疗,多为胰十二指肠切除术或脾胰体尾切除术。术后组织病理学检查已明确诊断为胰腺实性假乳头状瘤。住院时间为(13.90±5.16)d。对50例患者均进行随访,随访时间为3~70个月,49例患者未见复发或转移,所有患者均存活至今。结论:胰腺实性假乳头状瘤是一种较为罕见的低恶性胰腺肿瘤,多见于青年女性,其临床表现和实验室检查等无明显特异性,肿瘤标志物多阴性。切除肿瘤后能获得良好的预后。
[Abstract]:Objective: to investigate the clinical features, imaging features, pathological features, treatment methods and prognosis of solid pseudopapillary tumors of the pancreas.Methods: the clinical data of 50 patients with solid pseudopapilloma of pancreas treated in Tianjin Medical University Oncology Hospital from January 2011 to October 2016 were analyzed retrospectively.Pathological features, diagnosis and treatment methods and prognosis were summarized.Results the age of 50 patients was 1158 years old with an average age of 33 卤12 years.Most tumors are located in the head and tail of the pancreas.All patients underwent surgical resection, mostly pancreaticoduodenectomy or splenopancreatectomy.Postoperative histopathological examination has confirmed the diagnosis of solid pseudopapilloma of the pancreas.The length of hospitalization was 13.90 卤5.16 days.All the 50 patients were followed up for 3 ~ 70 months, 49 patients had no recurrence or metastasis, and all the patients had survived until now.Conclusion: solid pseudopapilloma of pancreas is a rare low malignant pancreatic tumor, which is more common in young women. Its clinical manifestation and laboratory examination are not specific, and the tumor markers are negative.Good prognosis can be obtained after resection of tumor.
【作者单位】：天津医科大学肿瘤医院胰腺肿瘤科国家肿瘤临床医学研究中心天津市肿瘤防治重点实验室天津市恶性肿瘤临床医学研究中心;
【分类号】：R735.9

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