Solid pseudopapillary tumor of the pancreas with liver metastasis: Clinical features and management

Solid pseudopapillary tumor of the pancreas with liver metastasis: Clinical features and management
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DOI:
10.1016/j.ejso.2014.05.012
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发表时间:
2014-11-01
期刊:
影响因子:
3.8
通讯作者:
Zhao, Yu-Pei
Zhao, Yu-Pei
中科院分区:
医学2区
文献类型:
--
作者:
Wang, Wei-Bin;Zhang, Tai-Ping;Zhao, Yu-Pei

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目的:总结转移性胰腺实体性假乳头状瘤的诊断和治疗。方法:回顾性分析2001年11月至2013年9月北京协和医院收治的转移性胰腺spt患者的临床资料。结果:共收治胰腺spt患者187例。4例发生肝转移,均为女性,年龄20 ~ 72岁。每例转移患者均行手术切除,术后恢复良好。平均随访30个月(1 ~ 64个月)。所有患者均无明显复发或远处转移。结论:胰腺SPT合并肝转移非常罕见,手术切除是有效的治疗选择。手术治疗的原则是尽可能完全切除原发和转移性病变。术后需长期随访。(C) 2014 Elsevier Ltd.版权所有。
Objective: To summarize the diagnosis and management of metastatic pancreatic solid pseudopapillary tumors (SPTs).Methods: We retrospectively analyzed the clinical data of patients with metastatic pancreatic SPTs who were admitted to Peking Union Medical College Hospital from November 2001 to September 2013.Results: A total of 187 patients with pancreatic SPTs were admitted. Four patients had liver metastasis, and all four were female patients aged 20-72 years old. Each patient with metastases underwent surgical resection with good postoperative recovery. The mean follow-up period was 30 months (range, 1-64 months). None of the patients had obvious recurrence or distant metastasis.Conclusions: Pancreatic SPT with liver metastasis is very rare, and surgical resection is an effective treatment option. The principle of surgical treatment is to resect the primary and metastatic lesions as completely as possible. The affected patients require long-term postoperative follow-up. (C) 2014 Elsevier Ltd. All rights reserved.