摘要
目的探讨临床特征及超声检查在胰腺淋巴瘤和胰腺癌鉴别诊断中的价值。方法回顾性分析10例胰腺淋巴瘤和15例胰腺癌的临床及超声特征。结果统计显示胰腺淋巴瘤和胰腺癌以下指标有显著性差异:病程时间长短、黄疸、癌胚抗原(CEA)升高、浅表淋巴结肿大、腹膜后淋巴结肿大、发热盗汗、病灶大小、胆管及胰管扩张等。而发病年龄、性别、发病部位、病灶内部回声和血流特征无显著差异。结论胰腺淋巴瘤患者常有病程长、浅表淋巴结肿大、发热、盗汗、病灶相对较大、腹膜后多发淋巴结肿大等特点。胰腺癌患者常有病程相对较短、黄疸、CEA升高、病灶相对较小、胆管及胰管明显扩张等。
Objective To probe differentiate diagnostic value of clinic character and ultrasound examine for pancreatic lymphoma and pancreatic cancer. Methods Retrospective analysis of 10 cases of pancreatic lymphoma and 15 cases of pancreatic cancer clinical and ultrasound characteristics. Results Statistics show that of pancreatic lymphoma and pancreatic cancer following indicators have significant difference ： Course of disease duration, jaundice, Carcinoembryonic antigen （ carcino - embryonic antigen, CEA） increased, superficial lymph node intumesce, retroperitoneal lymph node intumesce, fever, night sweat, lesion size, bile duct and pancreatic duct expansion, etc. While the incidence of age, sex, incidence areas, lesion internal echo and blood flow characteristics have no significant differences. Conclusion Pancreatic lymphoma patients are often long, superficial lymph node intumesce, fever, night sweat, relatively large lesions, retroperitoneal lymph node intumesce. Pancreatic cancer patients are often relatively short course of disease, jaundice, CEA rise, relatively small lesions, bile duct and pancreatic duct remarkable expansion.
出处
《临床和实验医学杂志》
2009年第5期3-5,共3页
Journal of Clinical and Experimental Medicine
基金
深圳市重点学科经费支助2005C06
关键词
超声
胰腺淋巴瘤
胰腺癌
鉴别诊断
Uhrasonography
Pancreatic lymphoma
Pancreatic cancer
Differential diagnosis
