胰腺实性假乳头状瘤治疗1例

F. S. Rakhimova, N. Mamashev, O. Shimkina, B. Bebezov
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引用次数: 0

摘要

介绍。实性假乳头状胰腺肿瘤占所有胰腺肿瘤的不到3%。它在20至30岁的年轻女性中更为常见。这种病理的预后良好。85%以上的患者完全切除肿瘤后完全康复。材料和方法。本文报告一个临床病例,说明了恶性胰腺肿瘤患者的手术结果。患者M,女,1998年出生,于2015年1月12日至2015年1月26日在吉尔吉斯斯坦国立医院I.K. Akhunbaev诊所住院治疗,临床诊断为:术中发现胰腺头部肿块。因此,决定扩大手术范围。组织病理学检查显示实性假乳头状肿瘤。结果和讨论。这种肿瘤极为罕见,通常在预防性检查或肿瘤变大时偶然发现。在治疗的背景下,7年的动态观察显示该病理没有进展和复发的迹象。结论。实性假乳头状肿瘤是一种罕见的、高度分化的恶性肿瘤,多见于年轻女性。它的特点是一个相对有利的临床过程,这是由本病例报告证明。
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Case of Treatment of Solid Pseudopapillary Pancreatic Tumor
   Introduction. A solid pseudopapillary pancreatic tumor accounts for less than 3 % of all pancreatic tumors. It is more common in young women aged 20 to 30. The prognosis for this pathology is favorable. Complete removal of the tumor leads to full recovery in more than 85 % of patients.   Materials and methods. The paper presents a clinical case which demonstrates the surgical outcome of a patient with a malignant pancreatic tumor. Patient M., female, born in 1998, underwent inpatient treatment at the I.K. Akhunbaev Clinic of National Hospital, Kyrgyzstan, from January 12, 2015 to January 26, 2015 with a clinical diagnosis — pancreatic head mass, which was found intraoperatively. Due to this, the decision was made to expand the scope of the surgery. Histopathological examination revealed a solid pseudopapillary tumor.   Results and discussion. This tumor is extremely rare and is usually detected accidentally during preventive examinations, or when the tumor becomes large. Against the background of treatment, the dynamics of observation for 7 years revealed no signs of progression and relapse of this pathology.   Conclusion. Solid pseudopapillary tumor is a rare, highly differentiated malignancy, which develops most oft en in young women. It is characterized by a relatively favorable clinical course, which is demonstrated by this case report.
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审稿时长
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