儿童胰腺实性假乳头状肿瘤的潜在恶性表现及其临床处理
儿童;胰腺实性假乳头状肿瘤;完整切除;脾切除;减体积手术,肖元宏,刘洲禄,王政,彭少林,郭爱桃,肖元宏,通讯作者:,Potentialmalignancyandclinicalmanagementofsolidpseudopapilla
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肖元宏, 刘洲禄, 王政, 彭少林, 中国人民解放军总医院小儿外科 北京市 100853
郭爱桃, 中国人民解放军总医院病理科 北京市 100853
肖元宏, 2006年解放军总医院博士, 研究方向主要为排便功能异常的直肠肛门动力研究.
通讯作者: 肖元宏, 100853, 北京市, 中国人民解放军总医院小儿外科. xiaoyh28@sina.com
电话: 010-66937123
收稿日期: 2006-12-11 接受日期: 2007-01-19
Potential malignancy and clinical management of solid pseudopapillary tumor of pancreas in children
Yuan-Hong Xiao, Zhou-Lu Liu, Ai-Tao Guo, Zheng Wang, Shao-Lin Peng
Yuan-Hong Xiao, Zhou-Lu Liu, Zheng Wang, Shao-Lin Peng,Department of Pediatric Surgery, General Hospital of Chinese PLA, Beijing 100853, China
Ai-Tao Guo,Department of Pathology, General Hospital of Chinese PLA, Beijing 100853, China
Correspondence to:Yuan-Hong Xiao, Department of Pediatric Surgery, General Hospital of Chinese PLA, Beijing 100853, China. xiaoyh28@sina.com
Received:2006-12-11 Accepted:2007-01-19
Abstract
AIM: To discuss the potential malignant presen-tation and clinical management of solid pseudo-papillary tumor of pancreas (SPNP) in children.
METHODS: In combination with literature review, the clinical presentation, pathological characteristics, surgical management and following-up results of 4 SPNP patients were concluded and analyzed.
RESULTS: Three cases received the removal of the tumor and spleen due to the adhesion with the spleen veins and difficulty to dissection. One case received partial resection of the tumor due to its adhesion and embrace with supra-mensentary blood vessels and duodenum. The three patients with complete tumors removal had no distant metastasis at the time of hospital admission. After following-up for 16 to 53 months, all the three cases survived without local recurrence and metastasis. The case with partial resection was in following up for 29 months, and no local enlargement and distant metastasis were found.
CONCLUSION: Surrounding-tissue invasion exists in SPNP children, and complete removal is the best choice ......
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