2026-09-23T05:31:21Zhttps://repository.ajou.ac.kr/oai/request

oai:repository.ajou.ac.kr:201003/118782024-10-11T02:21:24Zcom_201003_14369com_201003_14368col_201003_14370

Surgical Outcomes for Solid Pseudopapillary Neoplasm of Pancreas 본원에서 시행한 췌장 고형 가성유두종의 수술적 결과 백, 남현 김, 욱환 대학원 의학과 107349 백, 남현 Solid pseudopapillary neoplasm Recurrence Surgical treatment 고형 가성 유두종 재발 수술적 치료 Background/Aims: Solid pseudopapillary neoplasm (SPN) is a rare exocrine tumor of the pancreas with low malignant potential. This study was designed to evaluate surgical outcome of solid pseudopapillary neoplasm (SPN). Methodology: From Between January 1994 to November 2013, 41 patients were diagnosed with SPN of the pancreas at Ajou University Medical Center and underwent surgical resection. Results: Of the 41 patients, 33(80.5%) were female and 8(19.5%) were male with a mean age of 34.5 years (range, 12-63 years). The most common location of SPN was the tail (43.9%). Mean diameters of SPN was 5.5 cm (range, 1.2-14.5 cm). Nineteen patients (46.3%) had non-specific abdominal symptoms that had been investigated. Surgical treatment included distal pancreatectomy in 21, pancreaticoduodenectomy in 11, segmental resection of pancreas in 4, enucleation in 2, excision in 2 and surgical biopsy in 1. Thirty-nine of the 41 patients were disease-free at a median follow-up of 59 months (range, 1-125 months). Conclusions: Patients diagnosed as SPN should receive surgical resection because of the excellent prognosis. Closed follow-up is recommended after surgery, even in patients without pathological malignant potential. For metastasis or recurrence, an aggressive surgical treatment is necessary because of the good possibility of long-term survival. ABSTRACT i TABLE OF CONTENTS ii LIST OF FIGURES iv LIST OF TABLES v Ⅰ. INTRODUCTION 1 Ⅱ. MATERIALS AND METHODS 3 Ⅲ. RESULTS 5 A. CLINICAL FINDINGS 5 B. SURGICAL OUTCOMES 5 C. RECURRENT CASE 6 Ⅳ. DISCUSSION 11 REFERENCE 14 국문요약 20 Master 2015-11-02T04:22:05Z 2015-11-02T04:22:05Z 2015 2015 Thesis Theses http://repository.ajou.ac.kr/handle/201003/11878 http://dcoll.ajou.ac.kr:9080/dcollection/jsp/common/DcLoOrgPer.jsp?sItemId=000000020448 000000020448 en