摘要
胰腺实性假乳头状瘤(solid pseudopapillary tumor of pancreas,SPTP)是少见的胰腺低度恶性肿瘤,以年轻女性多见,病因及发病机制尚不清楚。SPTP临床表现不典型,常表现为腹痛或腹部肿块伴或不伴消化系统症状。SPTP的影像学表现为囊性或囊实性占位,境界清楚,包膜完整,无胰管和胆管扩张,且无内分泌功能异常。病理学发现SPTP由实性区、囊性区和假乳头状结构组成。SPTP术前定性诊断有一定困难,容易误诊,外科手术是首选的治疗方法,且多预后良好,转移复发率低,放疗和化疗敏感性尚不清楚。本文综述近年来SPTP的研究现状。
Solid pseudopapillary tumor of pancreas(SPTP) is a rare low-grade malignant tumor and primarily affects the young females.The etiology and pathogenesis of SPTP are still unclear.The SPTP,whose clinical manifestation is not typical,is characterized by abdominal pain and mass with or without symptoms of the digestive system.Imaging examinations show that the SPTP is cystic or solid capsule placeholder with clear state and complete envelope,free of the pancreatic duct and bile duct expansion as well as endocrine dysfunction.Pathologic findings demonstrate that SPTP is consisted of solid tumor,cystic papillary and false architecture.Since the qualitative diagnosis of SPTP is difficult before operation,it is easily misdiagnosed.Surgery is the preferred treatment with well prognosis and low recurrence.The sensitivity of SPTP to radiation and chemotherapy treatment remains unknown.This paper reviews the study of STPT in the recent years.
出处
《上海医药》
CAS
2016年第8期8-12,共5页
Shanghai Medical & Pharmaceutical Journal
基金
国家自然科学基金青年项目(81502489)
关键词
实性假乳头状瘤
胰腺
诊断
治疗
solid pseudopapillary tumor of pancreas
pancreas
diagnosis
treatment