CAJ | 학술논문

目的探讨我国胰腺实性假乳头状瘤的发病情况、临床特点、诊治方法及预后,以提高对本病的认识.方法报告本院收治的5例,并结合国内近10年文献报告的649例进行分析.结果本病呈逐年递增趋势,近4年报告达594例;年轻女性多见,男∶女约1∶10;年龄8～67岁,平均26.1岁;症状以上腹胀痛不适为主,体征以上腹部包块为主;确诊有赖于术后病理及免疫组化;肿瘤部位绝大部分在胰腺;全部病例均手术切除,预后较好.结论本病并非罕见;确诊有赖于术后病理及免疫组化;手术是惟一有效的治疗方法,且术后预后良好.
목적 탐토아국이선실성가유두상류적발병정황、림상특점、진치방법급예후,이제고대본병적인식.방법 보고본원수치적5례,병결합국내근10년문헌보고적649례진행분석.결과 본병정축년체증추세,근4년보고체594례;년경녀성다견,남∶녀약1∶10;년령8～67세,평균26.1세;증상이상복창통불괄위주,체정이상복부포괴위주;학진유뢰우술후병리급면역조화;종류부위절대부분재이선;전부병례균수술절제,예후교호.결론 본병병비한견;학진유뢰우술후병리급면역조화;수술시유일유효적치료방법,차술후예후량호.
Objective To investigate the incidence, clinical characteristics, diagnosis, treatment and prognosis of solid-pseudopapillary tumor of pancreas (SPTP) in China. Methods Data of 5 cases treated in Liaocheng Second Hospital and 649 cases reported in literature in the recent 10 years were retrospectively analyzed.Results The disease showed an increasing trend in recent 10 years. In total, 595 cases were reported in the recent 4 years. The disease was more common in young female, with a 1: 10 male female ratio. Their ages ranged from 8 to 67 years, 26.1 years on average. The chief symptoms were abdominal pain and discomfort. Diagnosis depended on postoperative pathological and immunohistochemical analysis. Tumors were mainly located in pancreas. All tumors were treated by surgical resection and prognosis was good. Conclusion SPTP is not rare. Definite diagnosis of SPTP depends on postoperative pathological and immunohistochemical study. Surgical resection is recommended due to its good prognosis.