CAJ | 학술논문

目的　分析8例CT误诊为胰腺囊腺瘤的原因。方法　8例作了CT平扫和增强扫描。结果　经病理证实为胰腺结核、肾上腺嗜铬细胞瘤、非功能性胰岛细胞瘤、胰腺囊实性肿瘤各1例，胰腺癌和胰腺假囊肿各2例，其中3例呈单发囊性病变，5例为囊实性病变，肿瘤实性部分及囊壁和分隔强化，仅1例囊壁和分隔钙化。结论　多数病例可根据CT表现再结合临床及其它影像检查，有助于与胰腺囊腺瘤的鉴别诊断。
목적　분석8례CT오진위이선낭선류적원인。방법 　8례작료CT평소화증강소묘。 결과　경병리증실위이선결핵、신상선기락세포류、비공능성이도세포류、이선낭실성종류각1례， 이선암화이선가낭종각2례，기중3례정단발낭성병변，5례위낭실성병변，종류실성부분급낭벽화분격강화，부1례낭벽화분격개화。 결론　다수병례가근거CT표현재결합림상급기타영상검사，유조우여이선낭선류적감별진단。
Objective　To analyse reason of CT misdiagnoce for cystadenoma of pancreas before operation in 8 patients. Methods　The CT examination of all cases were performed both with unenhanced and enhanced scans. Results　The final diagnoses with proven pathologically in all patients included one case of pancreatic tuberculosis, nonfunctioning islet cell tumor, pancreatic cystic-solid tumor, adrenal phechromocytoma and two cases of pancreatic carcinoma and pseudocyst of pancreatitis respectively . Among these, three cases were single cystic mass and five cases were cystic and solid mass with enhancement of the solid component and cystic wall or septa on CT images. CT also showed calcification of cystic wall or septa in one case . Conclusion　According to CT findings of the mass and combining with clinical date and other images examination, it is helpful for CT scans to distinguish the mass with cystadenoma of pancreas in most cases.