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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陳磊 , 曹葦 , 趙鑫 , 過兆基 , 呂慶福 , 王想 , 陳琳

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Keywords：

胰腺腫瘤; 實性假乳頭狀瘤; 診斷; 治療

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目的總結胰腺實性假乳頭狀瘤的臨床特點及診治體會。方法回顧性分析2000年5月至2010年5月期間在我科手術治療并經病理檢查證實的8例胰腺實性假乳頭狀瘤患者的臨床資料。結果3例腫瘤位于胰頭部者行胰十二指腸切除術; 2例腫瘤位于胰頸部者行單純腫瘤摘除術; 1例腫瘤位于胰體部者行胰腺中段切除、近端閉合、遠端與空腸行吻合術; 2例位于胰尾部者行胰體尾切除聯合脾臟切除術。術中未見腹腔臟器轉移。8例患者術后經病理檢查均證實為胰腺實性假乳頭狀瘤。術后均未行放、化療。本組患者隨訪1~10年（平均5.5年），除2例失訪外，其余均健在。結論胰腺實性假乳頭狀瘤臨床少見，屬低度惡性腫瘤，女性多見； CT及MRI是其主要的影像學檢查手段；手術切除預后較好。

Citation： 陳磊,曹葦,趙鑫,過兆基,呂慶福,王想,陳琳. 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.	張建偉, 白曉楓, 王成峰, 等. 胰腺實性假乳頭狀瘤29例診治分析 [J]. 中國實用外科雜志, 2008, 28(3): 194196.
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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.	賁其穩, 周琳, 錢愛華, 等. 胰腺實性假乳頭狀瘤293例臨床薈萃分析 [J]. 胃腸病學, 2009, 14(3): 163166.
10.	何賢祿, 張尚福, 盧強, 等. 胰腺實性假乳頭狀瘤的診斷與治療 [J]. 中國普外基礎與臨床雜志, 2008, 15(8): 564565.
11.	趙寰飛. 男性胰腺實性假乳頭狀瘤1例 [J]. 中國現代醫藥雜志, 2008, 10(12): 121.
12.	葉信健, 嚴志漢, 白光輝, 等. 小兒胰腺實性假乳頭狀瘤兩例 [J]. 中華醫學雜志, 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.	陳創奇, 詹文華, 何裕隆, 等. 胰腺乳頭狀囊實性腫瘤的臨床病理特點及其診治(國內、外文獻復習附1例報告) [J]．中國普外基礎與臨床雜志, 2002, 9(6): 388391.
16.	徐青, 張偉, 王聰, 等. 胰腺實性假乳頭狀瘤的螺旋CT診斷與鑒別診斷 [J]. 實用放射學雜志, 2010, 26(3): 380383.
17.	繆飛, 展穎, 王曉穎, 等. 胰腺實性假乳頭狀瘤的CT診斷和鑒別診斷 [J]. 中華放射學雜志, 2003, 37(5): 417421.
18.	邵成浩, 胡先貴, 鄭建明, 等. 胰腺實性假乳頭狀瘤的診斷和治療[J]. 中國實用外科雜志, 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, 孫紅贊, 等. 胰腺實性假乳頭狀瘤的CT診斷（附16例報告） [J]. 中國醫學影像技術, 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. 張建偉, 白曉楓, 王成峰, 等. 胰腺實性假乳頭狀瘤29例診治分析 [J]. 中國實用外科雜志, 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. 賁其穩, 周琳, 錢愛華, 等. 胰腺實性假乳頭狀瘤293例臨床薈萃分析 [J]. 胃腸病學, 2009, 14(3): 163166.
10. 何賢祿, 張尚福, 盧強, 等. 胰腺實性假乳頭狀瘤的診斷與治療 [J]. 中國普外基礎與臨床雜志, 2008, 15(8): 564565.
11. 趙寰飛. 男性胰腺實性假乳頭狀瘤1例 [J]. 中國現代醫藥雜志, 2008, 10(12): 121.
12. 葉信健, 嚴志漢, 白光輝, 等. 小兒胰腺實性假乳頭狀瘤兩例 [J]. 中華醫學雜志, 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. 陳創奇, 詹文華, 何裕隆, 等. 胰腺乳頭狀囊實性腫瘤的臨床病理特點及其診治(國內、外文獻復習附1例報告) [J]．中國普外基礎與臨床雜志, 2002, 9(6): 388391.
16. 徐青, 張偉, 王聰, 等. 胰腺實性假乳頭狀瘤的螺旋CT診斷與鑒別診斷 [J]. 實用放射學雜志, 2010, 26(3): 380383.
17. 繆飛, 展穎, 王曉穎, 等. 胰腺實性假乳頭狀瘤的CT診斷和鑒別診斷 [J]. 中華放射學雜志, 2003, 37(5): 417421.
18. 邵成浩, 胡先貴, 鄭建明, 等. 胰腺實性假乳頭狀瘤的診斷和治療[J]. 中國實用外科雜志, 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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