CAJ | 학술논문

目的探讨胰头部实性假乳头状瘤(SPTP)诊断和治疗方法.方法回顾性分析河南省人民医院2008年1月至2013年8月诊治的12例胰头部SPTP临床资料.结果本组患者中男1例、女11例,平均年龄为28.7(11 ～43)岁.肿瘤平均直径7.5 cm(2～ 15 cm).6例肿瘤直径＞ 10 cm.1例行肿瘤部分切除联合开窗引流术,2例行胰头肿瘤切除术,2例行保留十二指肠胰头切除术,7例行胰十二指肠切除术,其中1例行联合部分门静脉切除的胰十二指肠切除术.经术后病理证实为胰腺实性假乳头状瘤.术后随访时间为3 ～59个月,无死亡病例.结论胰头部SPTP患者就诊时多体积巨大,术前诊断困难,完整切除为最佳治疗方案.
목적 탐토이두부실성가유두상류(SPTP)진단화치료방법.방법 회고성분석하남성인민의원2008년1월지2013년8월진치적12례이두부SPTP림상자료.결과 본조환자중남1례、녀11례,평균년령위28.7(11 ～43)세.종류평균직경7.5 cm(2～ 15 cm).6례종류직경＞ 10 cm.1례행종류부분절제연합개창인류술,2례행이두종류절제술,2례행보류십이지장이두절제술,7례행이십이지장절제술,기중1례행연합부분문정맥절제적이십이지장절제술.경술후병리증실위이선실성가유두상류.술후수방시간위3 ～59개월,무사망병례.결론 이두부SPTP환자취진시다체적거대,술전진단곤난,완정절제위최가치료방안.
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.