摘要
目的:探讨男性胰腺实性假乳头状瘤(SPTP)的MSCT动态增强表现,提高该病的诊断率。方法:收集2008年6月—2014年12月行MSCT检查且病理最终确诊为SPTP 8例男性和2012年6月—2014年12月SPTP患者12例女性,共20例,分析男性与女性SPTP的MSCT表现,包括病变部位、大小、包膜、钙化、内部组成、CT强化模式。采用卡方检验对上述结果进行统计分析。结果:男性患者中位年龄41.0岁,明显大于女性(29.0岁),差异有统计学意义,男、女SPTP在病变部位、肿瘤部位、钙化、强化模式之间差异均无统计学意义(P>0.05);男性SPTP患者肿瘤最大直径明显小于女性患者(P=0.001),实性肿块较女性多见(P=0.001),差异有统计学意义。结论:男性SPTP的MSCT影像学表现有一定特征性,对于男性胰腺病变,MSCT表现为病灶较小、实性成分较多,具有典型SPTP的强化模式,应考虑SPTP的可能。
Objective： To investigate the dynamic contrast enhancement multi-slice CT （MSCT） appearances of solid pseu- dopapillary tumor of pancreas （SPTP） in men, and improve the diagnostic accuracy. Methods： Twenty cases of SPTP were col- lected respectively from June 2008 to December 2014, each case was confinaaed by pathology, 8 cases were male, 12 cases were female. The difference of the performance of MSCT between male and female was analyzed, including the location, size, capsule, calcification, composition, CT enhancement of the mass. The Chi-square test was used to statistical analysis. Results： The median age was 41.0 in men, that was elder than the women, the difference was statistically significant. The differences of the location, calcification, CT enhancement of the mass between male and female were not statistically significant （P〉0.05）. The maximum diameter of the mass of male was less than the one in female（P〈0.05）. Solid mass was more common in women （P〈0.05）, the difference was statistically significant. Conclusion： The performance of MSCT of male is significant partly. When the pancreatic lesion expressed as a small, with many solid component and enhanced as SPTP typically, it should be diag- nosed as SPTP.
出处
《中国临床医学影像杂志》
CAS
北大核心
2015年第11期801-803,807,共4页
Journal of China Clinic Medical Imaging
