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目的提高对无功能性胰腺神经内分泌肿瘤的诊断与治疗认识。方法回顾性分析3例经病理确诊的无功能性胰腺神经内分泌肿瘤患者的临床资料。结果本组3例患者,2例为体检时行腹部超声检查而发现,1例以上腹部隐痛不适1个月余为主诉。2例行Wipple术,1例行胰体尾部切除术。3例均有随访,1例因术后约两年余复发转移而死亡,另2例现均术后3年多未见复发与转移。结论该病的临床特点和CT征象与胰腺癌有较大差别,手术为主的综合治疗能改善其预后。
Objective To improve the diagnosis and treatment of non-functional pancreatic neuroendocrine tumors. Methods Retrospective analysis of 3 cases of pathologically confirmed non-functional pancreatic neuroendocrine tumors in patients with clinical data. Results The group of 3 patients, 2 cases of abdominal ultrasound examination and found that more than 1 case of abdominal pain and discomfort more than 1 month for the main complaint. 2 routine Wipple surgery, 1 case of pancreatic body tail resection. Three cases were followed up, one case died of recurrence and metastasis in about two years after operation, and the other two cases were no recurrence and metastasis after 3 years. Conclusion The clinical features of the disease and CT signs and pancreatic cancer are quite different, comprehensive surgery-based treatment can improve its prognosis.