胰腺實性假乳頭狀瘤的CT表現與病理對照(附8例分析)△_《中國普外基礎與臨床雜志》

作者：

楊世平 ^1,2 , 魯昌立 ³ , 黃子星 ² ,  宋彬 ² , 吳苾 ²

1.四川石油管理局總醫院放射科(四川雙流 610213);;
2.四川大學華西醫院放射科(四川成都 610041);;
3. 四川大學華西醫院病理科(四川成都 610041);

關鍵詞：

胰腺腫瘤實性假乳頭狀瘤 X線體層攝影術病理學

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目的分析胰腺實性假乳頭狀瘤(solid pseudopapillary tumors of pancreas, SPTP) 的CT 表現。方法觀察8例SPTP患者的CT 表現，并與手術病理結果對照分析。結果8例SPTP均為單發、外突性生長的囊實性腫塊，其中4例呈類圓形，2例呈卵圓形，2例呈淺分葉狀。增強后4例腫瘤實性部分輕中度強化，動脈期與門靜脈期無明顯差異。 7例包膜完整，5例見壁結節，2例伴出血，5例伴鈣化，1例伴胰管擴張，1例伴肝臟轉移，1例伴胃后壁受侵。 8 例鏡下見假乳頭狀結構以及出血、壞死及囊性變。結論SPTP的CT 表現具有一定的特征性，反映其病理特征，有助于診斷及鑒別診斷。

引用本文： 楊世平,魯昌立,黃子星,宋彬,吳苾. 胰腺實性假乳頭狀瘤的CT表現與病理對照(附8例分析)△. 中國普外基礎與臨床雜志, 2011, 18(1): 85-88. doi: 復制

1.	Papavramidis T, Papavramidis S. Solid pseudopapillary tumors of the pancreas: review of 718 patients reported in English literature [J]. J Am Coll Surg, 2005, 200(6): 965972.
2.	Mulkeen AL, Yoo PS, Cha C. Less common neoplasms of the pancreas [J]. World J Gastroenterol, 2006, 12(20): 31803185.
3.	Frantz VK. Tumors of the pancreas [A]. In: Frantz VK Eds. Atlas of Tumour Pathology [M]. Washington, DC: Armed Forces Institute of Pathology, 1959: 3233.
4.	Kloppel G, Soleia E, Longnecker DS, et al. Histological typing of tumors of the exocrine pancreas [M]. 2nd ed. New York: Springer, 1996: 1521.
5.	Yang F, Fu DL, Jin C, et al. Clinical experiences of solid pseudopapillary tumors of the pancreas in China [J]. J Gastroenterol Hepatol, 2008, 23(12): 18471851.
6.	Seo HE, Lee MK, Lee YD, et al. Solidpseudopapillary tumor of the pancreas [J]. J Clin Gastroenterol, 2006, 40(10): 919922.
7.	Yu PF, Hu ZH, Wang XB, et al. Solid pseudopapillary tumor of the pancreas: a review of 553 cases in Chinese literature [J]. World J Gastroenterol, 2010, 16(10): 12091214.
8.	Huang HL, Shih SC, Chang WH, et al. Solidpseudopapillary tumor of the pancreas: clinical experience and literature review [J]. World J Gastroenterol, 2005, 11(9): 14031409.
9.	Reddy S, Cameron JL, Scudiere J, et al. Surgical management of solidpseudopapillary neoplasms of the pancreas (Franz or Hamoudi tumors): a large singleinstitutional series [J]. J Am Coll Surg, 2009, 208(5): 950959.
10.	李開宇, 徐福軍, 徐雷. 胰腺實性假乳頭狀瘤的診治進展 [J]. 中國普外基礎與臨床雜志, 2009, 16(5): 418420.
11.	何賢祿, 張尚福, 盧強, 等. 胰腺實性假乳頭狀瘤的診斷與治療 [J]. 中國普外基礎與臨床雜志, 2008, 15(8): 564565.
12.	Mao C, Guvendi M, Domenico DR, et al. Papillary cystic and solid tumors of the pancreas: a pancreatic embryonic tumor? Studies of three cases and cumulative review of the world’s literature [J]. Surgery, 1995, 118(5): 821828.
13.	Jaksic T, Yaman M, Thorner P, et al. A 20year review of pediatric pancreatic tumors [J]. J Pediatr Surg, 1992, 27(10): 13151317.
14.	周紅, 曾津津. 小兒胰腺乳頭狀囊性實性腫瘤 [J]. 中華小兒外科雜志, 2003, 24(1): 911.
15.	Mortenson MM, Katz MH, Tamm EP, et al. Current diagnosis and management of unusual pancreatic tumors [J]. Am J Surg, 2008, 196(1): 100113.
16.	王海, 冷冬妮, 石群立, 等. 胰腺實性假乳頭狀瘤臨床病理及超微結構分析 [J]. 中國腫瘤, 2009, 18(3): 245248.
17.	Geers C, Moulin P, Gigot JF, et al. Solid and pseudopapillary tumor of the pancreas-review and new insights into pathogenesis [J]. Am J Surg Pathol, 2006, 30(10): 12431249.
18.	Adams AL, Siegal GP, Jhala NC. Solid pseudopapillary tumor of the pancreas: a review of salient clinical and pathologic features [J]. Adv Anat Pathol, 2008, 15(1): 3945.
19.	Adsay NV. Cystic neoplasia of the pancreas: pathology and biology [J]. J Gastrointest Surg, 2008, 12(3): 401404.
20.	胡敏霞, 趙心明, 羅巍. 胰腺實性假乳頭狀瘤的多層螺旋CT表現與病理對照 [J]. 中國醫學影像技術, 2010, 26(7): 12771280.
21.	Lee SE, Jang JY, Hwang DW, et al. Clinical features and outcome of solid pseudopapillary neoplasm: differences between adults and children [J]. Arch Surg, 2008, 143(12): 12181221.
22.	Shimizu M, Matsumoto T, Hirokawa M, et al. Solidpseudopapillary carcinoma of the pancreas [J]. Pathol Int, 1999, 49(3): 231234.
23.	繆飛, 展穎, 王曉穎, 等. 胰腺實性假乳頭狀瘤影像與病理診斷分析 [J]. 臨床放射學雜志, 2004, 23(7): 589592.
24.	Casadei R, Santini D, Calculli L, et al. Pancreatic solidcystic papillary tumor: clinical features, imaging findings and operative management [J]. JOP, 2006, 7(1): 137144.
25.	Lee JH, Yu JS, Kim H, et al. Solid pseudopapillary carcinoma of the pancreas: differentiation from benign solid pseudopapillary tumour using CT and MRI [J]. Clin Radiol, 2008, 63(9): 10061014.

1. Papavramidis T, Papavramidis S. Solid pseudopapillary tumors of the pancreas: review of 718 patients reported in English literature [J]. J Am Coll Surg, 2005, 200(6): 965972.
2. Mulkeen AL, Yoo PS, Cha C. Less common neoplasms of the pancreas [J]. World J Gastroenterol, 2006, 12(20): 31803185.
3. Frantz VK. Tumors of the pancreas [A]. In: Frantz VK Eds. Atlas of Tumour Pathology [M]. Washington, DC: Armed Forces Institute of Pathology, 1959: 3233.
4. Kloppel G, Soleia E, Longnecker DS, et al. Histological typing of tumors of the exocrine pancreas [M]. 2nd ed. New York: Springer, 1996: 1521.
5. Yang F, Fu DL, Jin C, et al. Clinical experiences of solid pseudopapillary tumors of the pancreas in China [J]. J Gastroenterol Hepatol, 2008, 23(12): 18471851.
6. Seo HE, Lee MK, Lee YD, et al. Solidpseudopapillary tumor of the pancreas [J]. J Clin Gastroenterol, 2006, 40(10): 919922.
7. Yu PF, Hu ZH, Wang XB, et al. Solid pseudopapillary tumor of the pancreas: a review of 553 cases in Chinese literature [J]. World J Gastroenterol, 2010, 16(10): 12091214.
8. Huang HL, Shih SC, Chang WH, et al. Solidpseudopapillary tumor of the pancreas: clinical experience and literature review [J]. World J Gastroenterol, 2005, 11(9): 14031409.
9. Reddy S, Cameron JL, Scudiere J, et al. Surgical management of solidpseudopapillary neoplasms of the pancreas (Franz or Hamoudi tumors): a large singleinstitutional series [J]. J Am Coll Surg, 2009, 208(5): 950959.
10. 李開宇, 徐福軍, 徐雷. 胰腺實性假乳頭狀瘤的診治進展 [J]. 中國普外基礎與臨床雜志, 2009, 16(5): 418420.
11. 何賢祿, 張尚福, 盧強, 等. 胰腺實性假乳頭狀瘤的診斷與治療 [J]. 中國普外基礎與臨床雜志, 2008, 15(8): 564565.
12. Mao C, Guvendi M, Domenico DR, et al. Papillary cystic and solid tumors of the pancreas: a pancreatic embryonic tumor? Studies of three cases and cumulative review of the world’s literature [J]. Surgery, 1995, 118(5): 821828.
13. Jaksic T, Yaman M, Thorner P, et al. A 20year review of pediatric pancreatic tumors [J]. J Pediatr Surg, 1992, 27(10): 13151317.
14. 周紅, 曾津津. 小兒胰腺乳頭狀囊性實性腫瘤 [J]. 中華小兒外科雜志, 2003, 24(1): 911.
15. Mortenson MM, Katz MH, Tamm EP, et al. Current diagnosis and management of unusual pancreatic tumors [J]. Am J Surg, 2008, 196(1): 100113.
16. 王海, 冷冬妮, 石群立, 等. 胰腺實性假乳頭狀瘤臨床病理及超微結構分析 [J]. 中國腫瘤, 2009, 18(3): 245248.
17. Geers C, Moulin P, Gigot JF, et al. Solid and pseudopapillary tumor of the pancreas-review and new insights into pathogenesis [J]. Am J Surg Pathol, 2006, 30(10): 12431249.
18. Adams AL, Siegal GP, Jhala NC. Solid pseudopapillary tumor of the pancreas: a review of salient clinical and pathologic features [J]. Adv Anat Pathol, 2008, 15(1): 3945.
19. Adsay NV. Cystic neoplasia of the pancreas: pathology and biology [J]. J Gastrointest Surg, 2008, 12(3): 401404.
20. 胡敏霞, 趙心明, 羅巍. 胰腺實性假乳頭狀瘤的多層螺旋CT表現與病理對照 [J]. 中國醫學影像技術, 2010, 26(7): 12771280.
21. Lee SE, Jang JY, Hwang DW, et al. Clinical features and outcome of solid pseudopapillary neoplasm: differences between adults and children [J]. Arch Surg, 2008, 143(12): 12181221.
22. Shimizu M, Matsumoto T, Hirokawa M, et al. Solidpseudopapillary carcinoma of the pancreas [J]. Pathol Int, 1999, 49(3): 231234.
23. 繆飛, 展穎, 王曉穎, 等. 胰腺實性假乳頭狀瘤影像與病理診斷分析 [J]. 臨床放射學雜志, 2004, 23(7): 589592.
24. Casadei R, Santini D, Calculli L, et al. Pancreatic solidcystic papillary tumor: clinical features, imaging findings and operative management [J]. JOP, 2006, 7(1): 137144.
25. Lee JH, Yu JS, Kim H, et al. Solid pseudopapillary carcinoma of the pancreas: differentiation from benign solid pseudopapillary tumour using CT and MRI [J]. Clin Radiol, 2008, 63(9): 10061014.

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胰腺實性假乳頭狀瘤的CT表現與病理對照(附8例分析)△

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