胰腺实性假乳头状瘤7例分析。

Viszeralmedizin Pub Date : 2014-06-01 DOI:10.1159/000362183
Audrius Šileikis, Vitalija Nutautienė, Dmitrij Šeinin, Kęstutis Strupas
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引用次数: 2

摘要

背景:本研究的目的是描述和比较我们胰腺实性假乳头状肿瘤(SPN)的手术治疗经验,并提供文献综述。方法:回顾性分析维尔纽斯大学Santariskiu Klinikos医院(VUH SK)的数据以及使用Karger Publishers、Springer Science、BioMed Central和disserCat数据库进行研究的文献。结果:2001 ~ 2012年,7例经病理确诊为SPN。术前通过计算机断层扫描和磁共振成像进行精确诊断。肿瘤中位直径为6.36 cm (1.5 ~ 12 cm)。所有患者均接受手术治疗。免疫组化分析结果证实了细胞核中β-连环蛋白的积累。所有病例Ki-67水平均为1-2%。根据我们收集的数据,所有类型的组织学分析显示,有丝分裂活性低(每50个高倍视场1-2个有丝分裂),预后良好。未见血管侵犯、神经周围侵犯、囊外侵犯。结论:侵袭性强的SPN类型与肿瘤大小、定位、年龄和性别无关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Solid Pseudopapillary Neoplasm of the Pancreas: Analysis of Seven Cases.

Solid Pseudopapillary Neoplasm of the Pancreas: Analysis of Seven Cases.

Background: The purpose of this study was to describe as well as compare our surgical treatment experiences of solid pseudopapillary neoplasms (SPN) of the pancreas and to provide a review of the literature.

Methods: A retrospective analysis of data from Vilnius University Hospital Santariskiu Klinikos (VUH SK) and of the literature, which was researched using Karger Publishers, Springer Science, BioMed Central, and disserCat databases, was conducted.

Results: From 2001 to 2012, seven cases were identified with pathologically confirmed SPN diagnosis. A precise preoperative diagnosis was made by computertomography and magnetic resonance imaging. The median diameter of the tumors was 6.36 cm (range 1.5-12 cm). Surgical treatment was undertaken for all patients. Results of the immunohistochemical analysis confirmed a nuclear accumulation of β-catenin. The Ki-67 level was 1-2% in all of the cases. According to our collected data, all types of histological analysis revealed decent prognostic behavior with low mitotic activity (1-2 mitoses per 50 high power fields). Besides, angioinvasion, perineural invasion, and outside capsule invasion were not detected.

Conclusions: There was no correlation between more aggressive types of SPN and tumor size, localization, age, and gender.

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来源期刊
Viszeralmedizin
Viszeralmedizin GASTROENTEROLOGY & HEPATOLOGY-SURGERY
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