CAJ | 학술논문

目的总结胰腺实性假乳头肿瘤(SPT)的临床特点和诊断要点.方法回顾性分析经术后病理确诊为SPT40例患者的临床诊治资料.患者平均年龄(32.9±13.6)岁,平均病程(8.6±0.1)个月,男:女为1:9.临床症状多为腹部胀痛或隐痛不适(60.0%),无一例皮肤、巩膜黄染.结果所有患者术后未行化、放疗.4例术后发生水肿性胰腺炎,经积极治疗痊愈.36例获得随访,随访时间为4～132个月,均未见肿瘤复发.SPT大体剖面呈囊实性相闻结构,镜下特点为假乳头状结构和区域性坏死,无腺泡结构.结论 SPT有其相对独特的临床特征,其诊断要点有助于临床医生及时做出诊断,减少误诊、误治.
목적 총결이선실성가유두종류(SPT)적림상특점화진단요점.방법 회고성분석경술후병리학진위SPT40례환자적림상진치자료.환자평균년령(32.9±13.6)세,평균병정(8.6±0.1)개월,남:녀위1:9.림상증상다위복부창통혹은통불괄(60.0%),무일례피부、공막황염.결과 소유환자술후미행화、방료.4례술후발생수종성이선염,경적겁치료전유.36례획득수방,수방시간위4～132개월,균미견종류복발.SPT대체부면정낭실성상문결구,경하특점위가유두상결구화구역성배사,무선포결구.결론 SPT유기상대독특적림상특정,기진단요점유조우림상의생급시주출진단,감소오진、오치.
Objective To study the clinical characteristics and diagnosis of the solid-psendopapillary tumor of pancreas (SPT).Methods The clinical data of 40 SPT from January 1996 to January 2008 were retrospectively analyzed. The average age was (32.9 + 13.6 )years. The average clinical course was (8.6±0.1) months.Clinical symptoms usually included distensible pains and secret anguish in abdomen (60.0%).No jaundice appeared in any case.Results The surgical resection was favorable for the treatment of SPT,which had excellent prognosis.No tumor recurrence were found in those following-up patients. Grossly,the cut surface showed areas of solid and papillary tissue,cystic degeneration,hemorrhage,and necrosis.Pathological features included a combination of solid and cystic components with pseudopapillae formation and degenerative regions without glands.Conclusions SPT has its uniquely clinical and pathological characteristics.Its main diagnosed points are helpful for clinical doctors to make timely diagnosis and reduce the rate of misdiagnosis and mistreatment.