胰腺实性假乳头状瘤的CT诊断与病理分析.docVIP

胰腺实性假乳头状瘤的CT诊断与病理分析 　　【摘要】 目的：探讨胰腺实性假乳头状瘤的CT诊断与病理分析，旨在提高对该病的临床认识。方法：选取2008年2月-2014年8月笔者所在医院收治的经手术和病理确诊的11例胰腺实性假乳头状瘤患者，术前均接受CT扫描检查，由两名高年资腹部影像学医师阅片，分析其肿块的CT表现，同时记录术中所见和病理检查情况。结果：胰腺实性假乳头状瘤多为单发，胰头为好发部位，CT影像学表现多为类圆形或卵圆形肿块，少数为浅分叶状，肿块体积一般较大，主要为囊实混合性，实性部分形态均不规则。肿块的包膜均有强化，为轻中度，且所有肿块在动脉期较门静脉期明显，均可见胆管扩张，少数伴有胰管扩张，均对毗邻结构有明显推挤。结论：胰腺实性假乳头状瘤有一定特征性的CT影像学表现，CT对该病诊断有一定临床价值，但在临床上应与高发在胰腺部位的肿瘤进行鉴别诊断。 　　【关键词】 胰腺实性假乳头状瘤； CT诊断； 病理分析 　　中图分类号 R576 文献标识码 B 文章编号 1674-6805（2015）13-0074-02 　　CT Diagnosis and Pathological Analysis of Solid Pseudopapillary Tumor of Pancreas/PENG Ze-xue，WEI Ren-guo，LI Xiao-ping.//Chinese and Foreign Medical Research，2015，13（13）：74-75 　　【Abstract】 Objective：To explore the CT diagnosis and pathological analysis of solid pseudopapillary tumor of pancreas，hoping to improve clinical awareness of the disease.Method：11 patients with pseudopapillary tumor of pancreas were enrolled in our hospital from February 2008 to August 2014.All patients underwent CT scan preoperatively，and the results were read by two senior abdominal radiologists.CT findings were analyzed including the position，shape and size，envelope，calcification and hemorrhage，cystic component proportion，enhancement pattern，pancreatic duct and common bile duct dilatation and adjacent to the structure of the relationship.Meanwhile，the intraoperative and pathologic situation was recorded.Result： Solid pseudopapillary tumor of pancreas is single with the head of the pancreas as the primary site.CT imaging findings showed the tumors were almost circular or ovoid shaped with a relative large volume.There were mainly mixed cystic and solid，and the forms of the solid part were irregular.The capsuleof tumor was intensified with mild to moderate degree.Bile duct dilatation was common and few had pancreatic duct dilatation，obviously pushing to the adjacent structure.Conclusion：Pancreatic solid pseudopapillary tumor has a certain characteristic CT findings.CT has a certain clinical value for the diagnosis of disease