ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG U ĐẶC GIẢ NHÚ THÂN ĐUÔI TỤY ĐIỀU TRỊ TẠI BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC

Abstract

Objectives: To describe clinical and paraclinical characteristics of solid pseudopapillary neoplasms (SPNs) located in the body and tail of the pancreas. Methods: A retrospective, descriptive study was conducted on 39 patients who were diagnosed with SPNs in the pancreatic body or tail and underwent surgery at Viet Duc University Hospital from December 1, 2014 to November 30, 2019. Results: The mean age was 27.3 ± 11.15 years, 94.9% were females, abdominal pain symptom was 72.8%, and abdominal examination showed no symptoms in 89.7%. The rate of CA 19-9 > 37 U/mL in blood was 17.1%. Abdominal ultrasound showed that tumors had a mixed solid-cystic structure in 51.4% and clear boundaries in 81.1%. Abdominal CT scan showed a mean tumor size of 59.5 ± 28.2mm, a rate of tumors with low contrast enhancement of 78.4%, non-vascular invasion of 97.3% and capsule of 29.7%. Histopathology: Solid was 28.2%, cystic was 12.8% and mixed was 59%. Conclusion: The age of onset is young, often in women, abdominal pain is the main symptom, and the symptoms are atypical on physical examination. A mixed solid-cystic with clear boundaries on Ultrasound, and a low-contrast image without vascular invasion on CT scan are important factors in diagnosis and treatment.