ObjectiveTo study the clinicopathologic features, diagnosis and treatment of papillary cystic and solid tumor of the pancreas (PCSTP).MethodsOne case with PCSTP in our hospital and a review of 60 others from the literatures of the People’s Republic of China, a total of 61 cases were analyzed retrospectively.ResultsThe patients (57 women, 4 men) were of mean age 24.6 (range 9~59) years. The main manifestations included abdominal mass (n=52), pain (n=22) and discomfort (n=10). They were distributed in the head (n=29), neck and body (n=2), body (n=1), body and tail (n=5), tail (n=16) and capsule (n=2) of the pancreas. The other 6 cases occurred outside the pancreas. All the patients underwent surgical therapy. The tumors were identified by postoperative histopathologic examination, 7 of which were malignant (11.5%). The total 1, 3, 5year survival rate was 100%, 96.1% and 86.5% respectively.ConclusionIt is difficult to correctly diagnose the PCSTP before operation because PCSTP is often lack of typical clinical manifestations. The correct diagnosis should depend on histopathologic examination.Complete removal of the PCSTP is the most perfect treatment. PCSTP has a good prognosis.
Citation：
CHEN Chuangqi,ZHAN Wenhua,HE Yulong,et al.. he Clinicopathologic Features, Diagnosis and Treatment of Papillary Cystic and Solid Tumor of Pancreas. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2002, 9(6): 388-391. doi:
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- 1. Lam KY, Lo CY, Fan ST. Pancreatic solidcysticpapillary tumor: clinicopathologic features in eight patients from Hong Kong and review of the literature [J]. World J Surg, 1999; 23(10)∶1045.
- 2. Panieri E, Krige JE, Bornman PC, et al. Operative management of papillary cystic neoplasms of the pancreas [J]. J Am Coll Surg, 1998; 186(3)∶319.
- 3. 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.
- 4. Koito K, Namieno T, Nagakawa T, et al. Solitary cystic tumor of the pancreas: EUSpathologic correlation [J]. Gastrointest Endosc, 1997; 45(3)∶268.
- 5. Pettinato G, Manivel JC, Ravetto C, et al. Papillary cystic tumor of the pancreas. A clinicopathologic study of 20 cases with cytologic, immunohistochemical, ultrastructral, and flow cytometric observations, and a review of the literature [J]. Am J Clin Pathol, 1992; 98(5)∶478.
- 6. 孟宇宏, 虞积耀. 胰腺乳头状囊实性肿瘤 [J]. 诊断病理学杂志, 1999; 6(3)∶175.
- 7. Nishihara K, Nagoshi M, Tsuneyoshi M, et al. Papillary cystic tumors of the pancreas. Assessment of their malignant potential [J]. Cancer, 1993; 71(1)∶82.
