Clinical analysis of solid-pseudopapillary tumor of the pancreas in 16 cases
10.3760/cma.j.issn.1673-4203.2010.10.011
- VernacularTitle:胰腺实性假乳头状瘤16例诊治分析
- Author:
Jie LI
;
Liushun FENG
;
Wenzhi GUO
;
Shouhua ZHENG
;
Shuijun ZHANG
- Publication Type:Journal Article
- Keywords:
Pancreatic neoplasms;
Solid-pseudopapillary tumor;
Diagnosis;
Therapy
- From:
International Journal of Surgery
2010;37(10):676-678
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the experience in diagnosis and treatment for solid-pseudopapillary tumors of the pancreas (SPT). Methods A retrospective clinical analysis about clinical, imaging and pathologic data was made on 16 cases of SPT admitted from January 2005 to December 2009. Results Five had SPT in the head of the pancreas, 5 in the body of the pancreas, 6 in the tail of the pancreas. The first symptom was intermittent epigastric pain ( n = 7), abdominal aponia mass ( n = 3), Pancreatic tumor found by chance (n =4), weight loss (n =2). Solid and Solid-cystic masses of low echo were found in US. Masses of low density in pancreas were found on CT scan, while irregular enhancement appeared in the circumference of all tumors in enhanced CT scan sequences. Tumor markers in patients' erum were all negative.9 patients underwent distal pancreatectomy and spleen resection, including 1 patient also underwent left hemicolectomy. Local excision of tumor was performed in 4 cases. Pancreatic local excision and pancreaticojejunostomy were performed in 3 cases. 14 cases were followed up with an period of from 3 to 48 months. No evidence of relapses and metastasis in these cases was found. Conclusion SPT primarily affects young women, and it may be located in any part of pancreas. Surgical resection is recommended as the treatment of choice. The prognosis is good.
