Diagnosis and surgical treatment of solid pseudopapillary tumor of the pancreatic head

VernacularTitle:胰头部实性假乳头状瘤的诊治
Author: Qingfeng JIANG ; Yaoxuan WANG ; Ke LI ; Yuwei TIAN ; Huanzhou XUE
Publication Type:Journal Article
Keywords: Pancreatic neoplasms; Solid pseudopapillary tumor; Pancreaticoduodenectomy
From: Chinese Journal of Hepatobiliary Surgery 2014;20(9):667-669
CountryChina
Language:Chinese
Abstract: Objective To discuss the diagnosis and surgical treatment of solid pseudopapillary tumor (SPTP) of the pancreatic head.Methods From January 2008 to August 2013,the clinicopathological data of 12 patients who were diagnosed and surgically treated in our hospital for this condition were analyzed retrospectively.Results There were 11 women and 1 man,the mean age was 28.7 years,with a range from 11 to 43.The mean diameter of the tumor was 7.5 cm(2 ～ 15 cm),6 of 12 of these tumors were more than 10 cm.Seven patients underwent pancreaticoduodenectomy,2 duodenum-preserving pancreatic head resection,2 local resection of tumor,1 palliative resection,1 pancreaticoduodenectomy combined with resection of part of the portal vein.All the diagnoses were confirmed by postoperative histopathology.In a follow-up which ranged from 3 to 65 months,all the patients were alive with no evidence of disease recurrence.Conclusions Most of the SPTPs of the pancreatic head were huge.The diagnosis was difficult.Complete tumor resection is the best treatment.