摘要
目的观察胰腺实性假乳头状瘤的CT表现,探讨CT用于该肿瘤的鉴别诊断的价值。方法回顾性分析在桂林市妇女儿童医院治疗的经术后病理学证实为胰腺实性假乳头状瘤10例患者的临床资料,观察患者的CT表现,比较其与其他胰腺内分泌肿瘤的鉴别要点。结果术前CT诊断为胰腺实性假乳头状瘤8例,1例怀疑为胰腺实性假乳头状瘤,1例误诊为胰腺囊腺瘤,CT诊断与术后病理的相符率为80.00%。10例胰腺实性假乳头状瘤中,伴随钙化出现的有5例,另外5例则以囊性成分居多。对于瘤体较大的患者,其占位病变明显,瘤内的实性部分出现持续性的轻度强化。结论胰腺实性假乳头状瘤的CT表现具有一定的特征性,需综合对影像结果进行相应的分析。
Objective To observe the CT effects of pancreatic solid pseudo-papillary tumor and to investigate the value of CT in identifying this kind of tumor. Methods Ten patients＇ clinical data who were diagnosed as pancreatic solid pseudo-papillary tumor by postoperative pathology confirmed in Guilin women and children Hospital were analyzed, CT manifestations of them were observed and compared with other endocrine tumors of the pancreas. Results Eight ca- ses were diagnosed as solid pseudo-papillary tumor of the pancreas by the preoperative CT, 1 cases was suspected as sol- id pseudo-papillary tumor of the pancreas and 1 cases was misdiagnosed coincidence rate of CT diagnosis and postopera- tive pathology was 80.00%. There were 5 cases accompanied by calcification and other 5 cases with cystic components. For patients with tumors larger, the space occupying lesions were obvious the solid part of tumor cells showed persistent mild enhancement. Conclusion The CT manifestations of solid pseudo-papillary tumor of the pancreas have certain characteristics, it needs synthesis of imaging results to analyze.
出处
《胃肠病学和肝病学杂志》
CAS
2015年第5期593-595,共3页
Chinese Journal of Gastroenterology and Hepatology
关键词
实性假乳头状瘤
CT
内分泌肿瘤
鉴别诊断
Solid pseudo-papillary tumor
CT
Endocrine tumors
Differential diagnosis
