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目的分析胰腺实性假乳头状瘤的误诊原因,探讨其临床及影像学诊断要点,以提高诊治水平。方法对我院2000-2011年共收治的11例被误诊的胰腺实性假乳头状瘤的临床资料进行回顾性分析。结果 11例患者中,8例误诊为胰腺假性囊肿,其中3例首先行外引流术,术后感染,行二次手术,术中快速冰冻确诊,余5例行内引流术,术中活检送快速冰冻提示,行手术切除,术后病理证实,3例误诊为囊腺瘤,行手术切除,术后病理证实。结论对于临床疑诊为胰腺假性囊肿和囊腺瘤的特别是中青年女性应排除实性假乳头状瘤的可能。
Objective To analyze the causes of misdiagnosis of solid pseudopapillary tumors of the pancreas and to explore the main points of clinical and imaging diagnosis in order to improve the diagnosis and treatment. Methods A total of 11 cases of misdiagnosed pancreatic solid pseudopapillary neoplasms in our hospital from 2000 to 2011 were retrospectively analyzed. Results Of the 11 patients, 8 were misdiagnosed as pancreatic pseudocyst, 3 of them were treated by external drainage, postoperative infection, secondary surgery, rapid intraoperative frozen diagnosis, and 5 patients underwent internal drainage and intraoperative biopsy Send prompt frozen tips, surgical resection, postoperative pathology confirmed, 3 cases misdiagnosed as cystadenoma, surgical resection, postoperative pathology confirmed. Conclusion The clinical suspicion of pancreatic pseudocyst and cystadenoma, especially young women should rule out the possibility of false pseudopapillary tumor.