Cai Yun-Qiang, Xie Si-Ming, Ran Xun, Wang Xing, Mai Gang, Liu Xu-Bao
Yun-Qiang Cai, Si-Ming Xie, Xun Ran, Xing Wang, Gang Mai, Xu-Bao Liu, Department of Hepatopancreatobiliary Surgery, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China.
World J Gastroenterol. 2014 Jun 14;20(22):6939-45. doi: 10.3748/wjg.v20.i22.6939.
To investigate the clinical characteristics, surgical strategies and prognosis of solid pseudopapillary tumors (SPTs) of the pancreas in male patients.
From July 2003 to March 2013, 116 patients were diagnosed with SPT of the pancreas in our institution. Of these patients, 16 were male. The patients were divided into two groups based on gender: female (group 1) and male (group 2). The groups were compared with regard to demographic characteristics, clinical presentations, surgical strategies, complications and follow-up outcomes.
Male patients were older than female patients (43.1 ± 12.3 years vs 33.1 ± 11.5 years, P = 0.04). Tumor size, location, and symptoms were comparable between the two groups. All patients, with the exception of one, underwent complete surgical resection. The patients were regularly followed up. The mean follow-up period was 58 mo. Two female patients (1.7%) developed tumor recurrence or metastases and required a second resection, and two female patients (1.7%) died during the follow-up period.
Male patients with SPT of the pancreas are older than female patients. There are no significant differences between male and female patients regarding surgical strategies and prognosis.
探讨男性胰腺实性假乳头状瘤（SPT）的临床特征、手术策略及预后。
2003年7月至2013年3月，我院共诊断出116例胰腺SPT患者。其中男性16例。根据性别将患者分为两组：女性（第1组）和男性（第2组）。比较两组患者的人口统计学特征、临床表现、手术策略、并发症及随访结果。
男性患者年龄大于女性患者（43.1±12.3岁 vs 33.1±11.5岁，P = 0.04）。两组患者的肿瘤大小、位置及症状具有可比性。除1例患者外，所有患者均接受了完整的手术切除。对患者进行定期随访。平均随访时间为58个月。2例女性患者（1.7%）出现肿瘤复发或转移，需要再次手术切除，2例女性患者（1.7%）在随访期间死亡。
男性胰腺SPT患者的年龄大于女性患者。男性和女性患者在手术策略和预后方面无显著差异。
