胰腺实性假乳头状肿瘤：临床特征、诊断与治疗
Solid pseudopapillary tumor of the pancreas: Clinical features, diagnosis and treatment.
作者信息
Lima Carlos Anselmo, Silva Angela, Alves Carlos, Alves Antonio, Lima Sonia, Cardoso Elisanio, Brito Erika, Macedo-Lima Matheus, Lyra Divaldo, Lyra Pollyanna, Lima Marcia Macedo
机构信息
University Hospital, Universidade Federal de Sergipe (UFS), and Oncology Department, Hospital de Urgências de Sergipe (HUSE/SES), Aracaju, SE, Brasil.
Graduate Program in Health Sciences, UFS. University Hospital, UFS, Aracaju, SE, Brasil.
出版信息
Rev Assoc Med Bras (1992). 2017 Mar;63(3):219-223. doi: 10.1590/1806-9282.63.03.219.
INTRODUCTION
: Solid pseudopapillary tumor of the pancreas (SPTP) is a rare neoplasm of low malignant potential with uncertain behavior, diagnosed mainly in young women.
METHOD
: Our report comprises a series of cases of SPTP reviewed retrospectively, highlighting clinical, tomographic and immunohistochemical features, treatment performed and outcomes.
RESULTS
: Thirteen patients were found to have pancreatic [solid] masses on computed tomography scan measuring a mean diameter of 8.8 cm. All patients underwent complete surgical excision. Immunohistochemistry confirmed diagnosis in all cases.
CONCLUSION
: SPTP occurs more frequently in young women. Diagnostic suspicion lies on the finding of a bulky, solid and cystic pancreatic mass. Imaging findings might provide diagnostic information before resection. Conservative approaches can be used in selected cases and survival rates are usually excellent following complete resection.
引言
胰腺实性假乳头状瘤（SPTP）是一种恶性潜能较低、行为不确定的罕见肿瘤，主要在年轻女性中被诊断出来。
方法
我们的报告回顾性分析了一系列SPTP病例，重点关注临床、断层扫描和免疫组化特征、所进行的治疗及结果。
结果
在计算机断层扫描中发现13例患者胰腺有实性肿块，平均直径为8.8厘米。所有患者均接受了完整的手术切除。免疫组化在所有病例中均证实了诊断。
结论
SPTP在年轻女性中更常见。诊断怀疑基于发现一个体积较大的实性和囊性胰腺肿块。影像学检查结果可能在切除术前提供诊断信息。在某些选定病例中可采用保守方法，完整切除后生存率通常很高。
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