| 摘要: |
| ［摘要］ 目的 探讨胰腺实性假乳头状瘤(SPTP)的诊断、治疗及预后。方法 回顾性分析钦州市第二人民医院和广西医科大学第一附属医院1998-07～2008-12收治的11例SPTP临床资料。结果 11例均无特异性临床表现，以腹部不适和腹部肿块为主，9例患者术前行细针穿刺活检，4例患者术前获得确诊。11例均行手术治疗，8例患者术后恢复良好，1例行胰腺不规则切除术的病人术后出现胰瘘，1例患者术后6月出现肿瘤复发，给予再次手术治疗后治愈。结论 细针穿刺病理组织学检查联合免疫组化分析是术前确诊SPTP的可靠方法，手术完整切除肿瘤可获得良好的预后。 |
| 关键词: 胰腺实性假乳头状瘤 活检 组织学 免疫组织化学 手术治疗 |
| DOI：10.3969/j.issn.1674-3806.2010.07.08 |
| 分类号:R 657.5 |
| 基金项目: |
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| Solid-pseudopapillary tumor of pancreas: An analysis of 11 cases |
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LONG Di,GUO Ya,BI Yong-hao,et al.
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Department of General Surgery,Qinzhou Second Pepole′s Hospital, Guangxi 535000,China
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| Abstract: |
| ［Abstract］ Objective To analyze diagnosis,treatment and prognosis of 11 cases of solid-pseudopapillary tumor of pancreas(SPTP).Methods The clinical data of 11cases of SPTP were analyzed retrospectively.Results There were no specific clinical symptoms in all patients and abdominal pain and space occupying were the mostly symptoms.Nine cases recieved fine-needle aspiration biopsy;of them preoperative diagnosis of 4 cases were correct.All the cases were received operation. Eight cases recovered successfully after operation;one case received nonstandard pancreatic resections suffered from postoperative pancreatic fistiula and was cured by conservative treatment;one case recurred and was cured by the second operation.Conclusion The correct preoperative diagnosis can be obtained by histologic finding and immunohistochemisty.Complete surgery could get good prognosis. |
| Key words: Solid-pseudopapillary tumor of pancreas Biopsy Histology Immunohistochemisty Surgery |
