Carlotto Jorge Roberto Marcante, Torrez Franz Robert Apodaca, Gonzalez Adriano Miziara, Linhares Marcelo Moura, Triviño Tarcisio, Herani-Filho Benedito, Goldenberg Alberto, Lopes-Filho Gaspar de Jesus, Lobo Edson José
Surgical Gastroenterology Division, Department of Surgery, School of Medicine, Federal University of São Paulo (EPM/UNIFESP).
Study Group of Pancreatic Diseases, São Paulo, SP, Brazil.
Arq Bras Cir Dig. 2016 Apr-Jun;29(2):93-6. doi: 10.1590/0102-6720201600020007.
The solid pseudopapillary neoplasm is a rare tumor of the pancreas. However, it´s etiology still maintain discussions.
To analyze it´s clinical data, diagnosis and treatment.
A retrospective study of medical records of all patients treated from January 1997 until July 2015.
Were identified 17 cases. Most patients were women (94.11%) and the average age was 32.88 years. The main complaint was abdominal mass (47.05%). The most frequent location was in the body/tail of the pancreas (72.22%) and the most frequently performed surgery was distal pancreatectomy with splenectomy (64.70%). No patient had metastases at diagnosis. Conservative surgery for pancreatic parenchyma was performed in only three cases. The rate of complications in the postoperative period was 35.29% and the main complication was pancreatic fistula (29.41%). No patient underwent adjuvant treatment.
The treatment is surgical and the most common clinical presentation is abdominal mass. Distal pancreatectomy with splenectomy was the most frequently performed surgery for its treatment.
实性假乳头状肿瘤是一种罕见的胰腺肿瘤。然而，其病因仍存在争议。
分析其临床资料、诊断及治疗方法。
对1997年1月至2015年7月期间所有接受治疗患者的病历进行回顾性研究。
共确诊17例。大多数患者为女性（94.11%），平均年龄为32.88岁。主要症状为腹部肿块（47.05%）。最常见的部位是胰腺体尾部（72.22%），最常进行的手术是远端胰腺切除术加脾切除术（64.70%）。诊断时无患者发生转移。仅3例患者进行了保留胰腺实质的手术。术后并发症发生率为35.29%，主要并发症为胰瘘（29.41%）。无患者接受辅助治疗。
治疗以手术为主，最常见的临床表现为腹部肿块。远端胰腺切除术加脾切除术是治疗该病最常进行的手术。
