胰腺实性假乳头状瘤的诊断和治疗:单个中心的经验。

Northern clinics of Istanbul Pub Date : 2024-08-05 eCollection Date: 2024-01-01 DOI:10.14744/nci.2023.36776
Ahmet Gokhan Saritas, Mehmet Onur Gul, Abdullah Ulku, Serdar Gumus, Ishak Aydin, Atilgan Tolga Akcam
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引用次数: 0

摘要

目的:本研究回顾了胰腺实性假乳头状瘤(SPT)患者的病历:本研究回顾了胰腺实性假乳头状瘤(SPT)患者的病历:本研究共纳入 13 例确诊为 SPT 的患者。病理标本中SPT的标准是:细胞核呈椭圆形圆形正色,染色质结构稀薄,无核仁区别,在囊性区域的纤维血管乳头周围排列:研究对象包括 11 名女性和 2 名男性患者,平均年龄为 33.07 岁(16-73 岁)。所有手术患者都接受了开腹手术,其中五人接受了胰腺次全切除术和脾脏切除术;一人接受了胰腺远端切除术和脾脏切除术;四人接受了保留脾脏的胰腺远端切除术;一人接受了胰十二指肠切除术。在长期随访中,没有一名手术患者复发。可手术患者的平均随访时间为 69.18 个月(22-97 个月),随访时无一出现转移。恶性SPT患者的平均随访时间为2.75(1.5-4)个月:SPT是一种罕见的胰腺肿瘤,由于影像学方法的进步,这种肿瘤的复发率较低,预后良好。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Diagnosis and treatment of solid pseudopapillary tumor of the pancreas: A single center's experience.

Objective: The present study reviews the records of patients with solid pseudopapillary pancreas neoplasm (SPT).

Methods: A total of 13 patients diagnosed with SPT were included in the study. The criteria for SPT in the pathology specimens were the presence of cells with an oval round orthochromatic nucleus, with a thin chromatin structure and no nucleolus distinction, lined around a fibrovascular papilla in cystic areas.

Results: The study included 11 female and two male patients, with a mean age of 33.07 (range: 16-73) years. All operated patients underwent open surgery, with five undergoing a subtotal pancreatectomy and splenectomy; one a distal pancreatectomy and splenectomy; four a spleen-preserving distal pancreatectomy; and one a pancreaticoduodenectomy. None of the operated patients developed recurrence during the long-term follow-up. The mean follow-up time of operable patients was 69.18 (range: 22-97) months, and none had metastasis at follow-up. The mean follow-up time for the malignant SPT patients was 2.75 (1.5-4) months.

Conclusion: SPTs are rare pancreatic tumors encountered more frequently today due to advances in imaging methods and have a low potential of recurrence and a good prognosis.

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