关键词: 胰腺实性假乳头状瘤, 胰十二指肠切除术, 胰腺肿瘤

Abstract: Objective To evaluate the clinical manifestations of solid-pseudopapillary tumor of the pancreas (SPT) and examine the diagnosis, treatment and prognosis of this rare disease.Methods We retrospectively reviewed a series of eight patients with SPT admitted in our hospital from April 1980 to July 2005.Results All the patients are female with mean age of 24.5 years (range 18 to 34 years) were diagnosed with SPT at our institution. Clinical presentation included a palpable abdominal mass in four patients and abdominal distention in another two. Two patients were asymptomatic; their tumors were found incidentally on abdominal sonographic examination for other reasons. Solid and solid-cystic masses of low echo were found in pancreas in ultrasonic examinations. CT scan found masses of Low density in pancreas, while irregular enhancement appeared in the circumference or parenchyma of all tumors in enhanced CT scan sequences. Tumor markers in patients' serum were all negative. The lesions were located in the body and tail in three cases and in the head of the pancreas in five. The mean diameter of the tumors in the eight patients was 6.2 cm (range 4 to 8 cm). Pancreaticoduodenectomy were performed in 5 cases. Three patients underwent distal pancreatectomy and spleen resection. None of the patients received adjuvant therapy. The mean follow up was 7.25 years (range 3 to 25 years). No evidence of relapses and metastasis in these cases was found.Conclusion Solid-pseudopapillary tumor of pancreas is a rare tumor with low malignant potential, affecting primarily young women. Surgical resection is generally curative and the prognosis is excellent.

Key words: solid-pseudopapillary tumor of pancreas, pancreaticoduodenectomy, pancreatic neoplasms