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Солидно-псевдопапиллярная опухоль поджелудочной железы, проблемы диагностики и лечения

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Солидно-псевдопапиллярная опухоль поджелудочной железы является редким высокодифференцированным злокачественным новообразованием, характеризующимся относительно благоприятным клиническим течением. Наиболее часто она встречается у женщин 20-30 лет. Солидно-псевдопапиллярная опухоль поджелудочной железы не имеет специфических клинических проявлений. Лучевая диагностика (УЗИ, КТ, МРТ) определяет характерные для этой опухоли изменения, такие как как гетерогенность и гиповаскуляризованность, отражает солидные и кистозные компоненты новообразования. Отдельные доклады описывают экстраорганное расположение солидно-псевдопапиллярной опухоли поджелудочной железы. Основным методом лечения является операция. Протяженность резекции поджелудочной железы зависит от расположения и размера опухоли. В случае злокачественного течения заболевания химиотерапия и лучевая терапия должны быть обсуждены.

Ключевые слова:
солидно-псевдопапиллярная опухоль, поджелудочная железа, лучевая диагностика, резекции поджелудочной железы, химиотерапия, лучевая терапия, solid pseudopapillary tumor, pancreas, radiologic diagnosis, pancreatic resection, course chemotherapy and radiotherapy

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Solid Pseudopapillary Pancreatic Tumor, Problems of Diagnostics and Treatment

Solid pseudopapillary pancreatic tumor (SPT) is a rare highly differentiated malignant neoplasm associated with relatively favorable clinical course. Most frequently it is met in 20-30 years old women. SPT has no specific clinical manifestations. Radiologic diagnosis (US, CT, MRI) reveals characteristic for this tumor features like heterogenicity and hypovascularicity, reflects solid and cystic components of the neoplasm. Sporadic reports describe extraorgan location of pancreatic SPT Main method of treatment is surgery. Extent of pancreatic resection depends on location and size of the tumor. In case of malignant clinical course chemotherapy and radiotherapy should be discussed.

Keywords:
солидно-псевдопапиллярная опухоль, поджелудочная железа, лучевая диагностика, резекции поджелудочной железы, химиотерапия, лучевая терапия, solid pseudopapillary tumor, pancreas, radiologic diagnosis, pancreatic resection, course chemotherapy and radiotherapy