Diagnosis and Treatment of Solid Pseudopapillary Tumor of Pancreas (Reports of 8 Cases)_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

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陈磊 , 曹苇 , 赵鑫 , 过兆基 , 吕庆福 , 王想 , 陈琳

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Keywords：

胰腺肿瘤; 实性假乳头状瘤; 诊断; 治疗

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目的总结胰腺实性假乳头状瘤的临床特点及诊治体会。方法回顾性分析2000年5月至2010年5月期间在我科手术治疗并经病理检查证实的8例胰腺实性假乳头状瘤患者的临床资料。结果3例肿瘤位于胰头部者行胰十二指肠切除术; 2例肿瘤位于胰颈部者行单纯肿瘤摘除术; 1例肿瘤位于胰体部者行胰腺中段切除、近端闭合、远端与空肠行吻合术; 2例位于胰尾部者行胰体尾切除联合脾脏切除术。术中未见腹腔脏器转移。8例患者术后经病理检查均证实为胰腺实性假乳头状瘤。术后均未行放、化疗。本组患者随访1~10年（平均5.5年），除2例失访外，其余均健在。结论胰腺实性假乳头状瘤临床少见，属低度恶性肿瘤，女性多见； CT及MRI是其主要的影像学检查手段；手术切除预后较好。

Citation： 陈磊,曹苇,赵鑫,过兆基,吕庆福,王想,陈琳. Diagnosis and Treatment of Solid Pseudopapillary Tumor of Pancreas (Reports of 8 Cases). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2011, 18(7): 764-766. doi: Copy

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2.	Yang F, Fu DL, Jin C, et al. Clinical experiences of solid pseudopapillary tumors of the pancreas in China[J]. J Gastroenterol Hepatol, 2008, 23(12): 18471851.
3.	Papavramidis T, Papavramidis S. Solid pseudopapillary tumors of the pancreas:review of 718 patients reported in English literature[J]. J Am Coll Surg, 2005, 200(6):965972.
4.	张建伟, 白晓枫, 王成峰, 等. 胰腺实性假乳头状瘤29例诊治分析 [J]. 中国实用外科杂志, 2008, 28(3): 194196.
5.	Frantz VK. Papillary tumors of the pancreas: benign or malignant? Tumors of the pancreas//Frantz VK. Atlas of Tumor Pathology. 1st Series. Fascicles 27 and 28 [M]. Washington DC: Armed Forces Institute Pathology, 1959: 3233.
6.	Kloppel G, Luttges J, Klimstra D, et al. Solid pseudopapillary neoplasm//Hamilton SR, Aaltonen LA. World Health Organization Classification of Tumour. Pathology and Genetics of Tumours of the Digestive System [M]. Lyon: IARC Press, 2000: 246248.
7.	Kosmahl M, Seada LS, Jnig U, et al. Solidpseudopapillary tumor of the pancreas: its origin revisited[J]. Virchows Arch, 2000, 436(5): 473480.
8.	Nagri S, Abdu A, Anand S, et al. Liver metastasis four years after Whipples resection for solidpseudopapillary tumor of the pancreas[J]. JOP, 2007, 8(2): 223227.
9.	贲其稳, 周琳, 钱爱华, 等. 胰腺实性假乳头状瘤293例临床荟萃分析 [J]. 胃肠病学, 2009, 14(3): 163166.
10.	何贤禄, 张尚福, 卢强, 等. 胰腺实性假乳头状瘤的诊断与治疗 [J]. 中国普外基础与临床杂志, 2008, 15(8): 564565.
11.	赵寰飞. 男性胰腺实性假乳头状瘤1例 [J]. 中国现代医药杂志, 2008, 10(12): 121.
12.	叶信健, 严志汉, 白光辉, 等. 小儿胰腺实性假乳头状瘤两例 [J]. 中华医学杂志, 2010, 90(5): 358359.
13.	Mao C, Guvendi M, Domenico DR, et al. Papillary cystic and solid tumors of the pancreas: a embryonic tumor? Studies of three cases and cumulative review of the world’s literature[J]. Surgery, 1995, 118(5): 821828.
14.	Francis WP, Goldenberg E, Adsay NV, et al. Solidpseudopapillary tumors of the pancreas: case report and literature review[J]. Curr Surg, 2006, 63(6): 469472.
15.	陈创奇, 詹文华, 何裕隆, 等. 胰腺乳头状囊实性肿瘤的临床病理特点及其诊治(国内、外文献复习附1例报告) [J]．中国普外基础与临床杂志, 2002, 9(6): 388391.
16.	徐青, 张伟, 王聪, 等. 胰腺实性假乳头状瘤的螺旋CT诊断与鉴别诊断 [J]. 实用放射学杂志, 2010, 26(3): 380383.
17.	缪飞, 展颖, 王晓颖, 等. 胰腺实性假乳头状瘤的CT诊断和鉴别诊断 [J]. 中华放射学杂志, 2003, 37(5): 417421.
18.	邵成浩, 胡先贵, 郑建明, 等. 胰腺实性假乳头状瘤的诊断和治疗[J]. 中国实用外科杂志, 2007, 27(5): 398400.
19.	Kingsnorth AN, Galloway SW, LewisJones H, et al. Papillary cystic neoplasm of the pancreas: presentation and natural history in two cases [J]. Gut, 1992, 33(3): 421423.
20.	Bardales RH, Centeno B, Mallery JS, et al. Endoscopic ultrasoundguided fineneedle aspiration cytology diagnosis of solidpseudopapillary tumor of the pancreas: a rare neoplasm of elusive origin but characteristic cytomorphologic features[J]. Am J Clin Pathol, 2004, 121(5): 654662.

1. 范光明, 沈金丹, 孙红赞, 等. 胰腺实性假乳头状瘤的CT诊断（附16例报告） [J]. 中国医学影像技术, 2009, 25(2): 260262.
2. Yang F, Fu DL, Jin C, et al. Clinical experiences of solid pseudopapillary tumors of the pancreas in China[J]. J Gastroenterol Hepatol, 2008, 23(12): 18471851.
3. Papavramidis T, Papavramidis S. Solid pseudopapillary tumors of the pancreas:review of 718 patients reported in English literature[J]. J Am Coll Surg, 2005, 200(6):965972.
4. 张建伟, 白晓枫, 王成峰, 等. 胰腺实性假乳头状瘤29例诊治分析 [J]. 中国实用外科杂志, 2008, 28(3): 194196.
5. Frantz VK. Papillary tumors of the pancreas: benign or malignant? Tumors of the pancreas//Frantz VK. Atlas of Tumor Pathology. 1st Series. Fascicles 27 and 28 [M]. Washington DC: Armed Forces Institute Pathology, 1959: 3233.
6. Kloppel G, Luttges J, Klimstra D, et al. Solid pseudopapillary neoplasm//Hamilton SR, Aaltonen LA. World Health Organization Classification of Tumour. Pathology and Genetics of Tumours of the Digestive System [M]. Lyon: IARC Press, 2000: 246248.
7. Kosmahl M, Seada LS, Jnig U, et al. Solidpseudopapillary tumor of the pancreas: its origin revisited[J]. Virchows Arch, 2000, 436(5): 473480.
8. Nagri S, Abdu A, Anand S, et al. Liver metastasis four years after Whipples resection for solidpseudopapillary tumor of the pancreas[J]. JOP, 2007, 8(2): 223227.
9. 贲其稳, 周琳, 钱爱华, 等. 胰腺实性假乳头状瘤293例临床荟萃分析 [J]. 胃肠病学, 2009, 14(3): 163166.
10. 何贤禄, 张尚福, 卢强, 等. 胰腺实性假乳头状瘤的诊断与治疗 [J]. 中国普外基础与临床杂志, 2008, 15(8): 564565.
11. 赵寰飞. 男性胰腺实性假乳头状瘤1例 [J]. 中国现代医药杂志, 2008, 10(12): 121.
12. 叶信健, 严志汉, 白光辉, 等. 小儿胰腺实性假乳头状瘤两例 [J]. 中华医学杂志, 2010, 90(5): 358359.
13. Mao C, Guvendi M, Domenico DR, et al. Papillary cystic and solid tumors of the pancreas: a embryonic tumor? Studies of three cases and cumulative review of the world’s literature[J]. Surgery, 1995, 118(5): 821828.
14. Francis WP, Goldenberg E, Adsay NV, et al. Solidpseudopapillary tumors of the pancreas: case report and literature review[J]. Curr Surg, 2006, 63(6): 469472.
15. 陈创奇, 詹文华, 何裕隆, 等. 胰腺乳头状囊实性肿瘤的临床病理特点及其诊治(国内、外文献复习附1例报告) [J]．中国普外基础与临床杂志, 2002, 9(6): 388391.
16. 徐青, 张伟, 王聪, 等. 胰腺实性假乳头状瘤的螺旋CT诊断与鉴别诊断 [J]. 实用放射学杂志, 2010, 26(3): 380383.
17. 缪飞, 展颖, 王晓颖, 等. 胰腺实性假乳头状瘤的CT诊断和鉴别诊断 [J]. 中华放射学杂志, 2003, 37(5): 417421.
18. 邵成浩, 胡先贵, 郑建明, 等. 胰腺实性假乳头状瘤的诊断和治疗[J]. 中国实用外科杂志, 2007, 27(5): 398400.
19. Kingsnorth AN, Galloway SW, LewisJones H, et al. Papillary cystic neoplasm of the pancreas: presentation and natural history in two cases [J]. Gut, 1992, 33(3): 421423.
20. Bardales RH, Centeno B, Mallery JS, et al. Endoscopic ultrasoundguided fineneedle aspiration cytology diagnosis of solidpseudopapillary tumor of the pancreas: a rare neoplasm of elusive origin but characteristic cytomorphologic features[J]. Am J Clin Pathol, 2004, 121(5): 654662.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Diagnosis and Treatment of Solid Pseudopapillary Tumor of Pancreas (Reports of 8 Cases)

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