胰腺导管内乳头状瘤课件.pptVIP

北大医院放射科 程晓悦 Patient, female, 79-years old，with?tumors in the body of the pancreas founded by the Ultrasound。 CT shows that: Pancreatic?atrophy； there were multiple?round hypo-dense lesions in the neck and body of the pancreas，with?clear?boundaries and no enhancement?in the enhanced CT scan； Some lesions had a?little? strip separators and parts of the?lesions were?close to the main pancreatic duct；? The pancreatic duct?was dilated. 定义 胰腺导管内乳头状黏液肿瘤(intraductal papillary mucinous tumor，IPMT)是一种特殊的胰腺囊腺瘤，可分泌大量黏液导致主胰管全程扩张，十二指肠乳头部开口由于黏液流过而扩大。 相对少见的胰腺肿瘤 。1982年由Ohashi首先报道，此后陆续有一些报道，但对该病命名不同，如产黏液