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胰腺实性假乳头状肿瘤;病例系列及文献综述

Solid Pseudopapillary Neoplasm of Pancreas; A Case Series and Review Literature.

作者信息

Mirminachi Babak, Farrokhzad Solmaz, Sharifi Amir Houshang, Nikfam Sepideh, Nikmanesh Arash, Malekzadeh Reza, Pourshams Akram

机构信息

Digestive Oncology Research Center, Digestive Disease Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Digestive Oncology Research Center, Digestive Disease Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran ; Qazvin Health Center, Qazvin University of Medical Science, Qazvin, Iran.

出版信息

Middle East J Dig Dis. 2016 Apr;8(2):102-8. doi: 10.15171/mejdd.2016.14.

Abstract

BACKGROUND Information regarding solid pseudopapillary neoplasm (SPN) of the pancreas is limited in Iran. We aimed to review the clinicocytopathological features and follow-up of patients with SPN of pancreas who were diagnosed in a single center in Iran. METHODS Seven patients with SPN of the pancreas were diagnosed during January 2010 to March 2015 at the Digestive Disease Research Institute of Tehran University of Medical Sciences. The patients were reviewed prospectively. RESULTS Six out of the 7 patients were female and the mean age of all the patients was 29.4 years ranging from 15 to 61 years. The most common clinical presentation was nonspecific abdominal pain (N=6). The tumors were located mostly in head and neck of the pancreas. SPN was diagnosed in all patients by fine needle aspiration through endosonography (EUS-FNA). All patients underwent surgery. Histological findings of surgical tissues were consistent with EUS-FNA. The postoperative follow-up period of about 14 months was uneventful. CONCLUSION SPN of the pancreas is a rare pancreatic tumor which affects primarily young women. EUS-guided FNA could play an important role in preoperative diagnosis of SPN of the pancreas.

摘要

背景

在伊朗,关于胰腺实性假乳头状瘤(SPN)的信息有限。我们旨在回顾在伊朗一个单一中心诊断出的胰腺SPN患者的临床细胞病理学特征及随访情况。

方法

2010年1月至2015年3月期间,在德黑兰医科大学消化疾病研究所诊断出7例胰腺SPN患者。对这些患者进行前瞻性回顾。

结果

7例患者中有6例为女性,所有患者的平均年龄为29.4岁,年龄范围为15至61岁。最常见的临床表现为非特异性腹痛(n = 6)。肿瘤大多位于胰腺的头部和颈部。所有患者均通过超声内镜引导下细针穿刺活检(EUS-FNA)确诊为SPN。所有患者均接受了手术。手术组织的组织学检查结果与EUS-FNA一致。术后约14个月的随访期无异常情况。

结论

胰腺SPN是一种罕见的胰腺肿瘤,主要影响年轻女性。EUS引导下的FNA在胰腺SPN的术前诊断中可发挥重要作用。

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本文引用的文献

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Solid pseudopapillary tumor of the pancreas: a case series of 26 consecutive patients.
Am J Surg. 2009 Aug;198(2):210-5. doi: 10.1016/j.amjsurg.2008.07.062. Epub 2009 Mar 6.
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Clinical features and outcome of solid pseudopapillary neoplasm: differences between adults and children.
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J Pediatr Surg. 2007 Dec;42(12):e27-31. doi: 10.1016/j.jpedsurg.2007.08.056.

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