CAJ | 학술논문

目的探讨胰腺实质性假乳头状瘤的诊治方法.方法回顾性分析2008年8月-2010年4月期间经广西医科大学第一附属医院手术治疗的6例患者的临床资料.结果患者6例,其中女5例,男1例,年龄17～31岁(平均21.8岁).肿瘤最大径6.6～13.0 cm(平均8.2 cm),胰头部2例,体尾部4例;腹部B超、CT诊断胰腺囊实性占位4例,实质性占位2例,均获完整切除和病理诊断.行开腹手术5例,其中胰头十二指肠切除术2例,胰体尾切除术2例,胰体尾切除术加脾切除术1例.行腹腔镜胰体尾切除术加脾切除术1例.结论胰腺实质性假乳头状瘤患者以青年女性多见,肿瘤边界清、体积大.腹部B超、CT检查是重要的诊断手段.根据肿瘤部位确定胰腺切除范围,手术切除率高,对体尾部肿瘤可试行保留脾脏的胰体尾切除术.
목적탐토이선실질성가유두상류적진치방법.방법회고성분석2008년8월-2010년4월기간경엄서의과대학제일부속의원수술치료적6례환자적림상자료.결과환자6례,기중녀5례,남1례,년령17～31세(평균21.8세).종류최대경6.6～13.0 cm(평균8.2 cm),이두부2례,체미부4례;복부B초、CT진단이선낭실성점위4례,실질성점위2례,균획완정절제화병리진단.행개복수술5례,기중이두십이지장절제술2례,이체미절제술2례,이체미절제술가비절제술1례.행복강경이체미절제술가비절제술1례.결론이선실질성가유두상류환자이청년녀성다견,종류변계청、체적대.복부B초、CT검사시중요적진단수단.근거종류부위학정이선절제범위,수술절제솔고,대체미부종류가시행보류비장적이체미절제술.
Objective To discuss the diagnosis and treatment of the solid pseudopapillary tumor of the pancreas(SPTP). Methods Six consecutive cases operated in our hospital from Aug. 2008 to Apr. 2010were reviewed. Results Those cases aged ranging from 17 to 31 years, with an average age of 21.8 years.The maximal dimension of tumor ranged from 6.6 to 13.0 cm, averaging 8.2 cm. Those tumors originated from pancreatic head (2), and body or tail (4). Abdominal B-ultrasound or CT scan examination disclosed that pancreas had solid-cystic mass in 4 cases, and the other two had solidmass. All tumors were resected completely and defined pathologically. We performed 5 open operations, including pancreaticoduodenectomy (2 cases), spleen-preserving distal pancreatectomy (2 cases) and distal pancreatectomy plus splenectomy (1 case). One case underwent laparoscopic distal pancreatectomy plus splenectomy. Conclusions The young females are more likely suffered from the SPTP than others, which usually has a clear boundary and large volume. The abdominal B-ultrasound and CT scan are important diagnostic methods. The surgical modality of pancreatectomy is dependent on the tumor's location and extent, furthermore the resectability of SPTP is high. It is possible to perform a spleen-preserving distal pancreatectomy for tumors located in pancreatic body or tail.