中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2011年
z2期
21-23
,共3页
胰腺肿瘤%诊断%胰腺实性假乳头状瘤
胰腺腫瘤%診斷%胰腺實性假乳頭狀瘤
이선종류%진단%이선실성가유두상류
Pancreatic neoplasm%Diagnosis%Solid pseudo-papillary tumor of pancreas
目的 总结胰腺实性假乳头状瘤(SPT)的临床特征与诊断经验.方法 对2000年1月至2008年12月经术后病理证实的22例SPT临床表现和影像学、实验室、手术方式,术后病理检查等资料进行回顾性分析.结果首诊临床表现为上腹部憋胀不适5例.腹部肿物3例,腹痛1例,无任何临床症状13例.血清肿瘤标志物水平均正常.影像学检查均提示胰腺或腹膜后边界清楚的实性或囊实性占位性病变,肿瘤位于胰头部10例,胰体部8例,胰尾部4例.核磁共振(MRI)的诊断符合率33.3％(2/6),CT为18.2％(4/22).结论 SPT是一种低度恶性肿瘤,多发于年轻女性,典型的影像学特征表现有利于SPT的诊断.
目的 總結胰腺實性假乳頭狀瘤(SPT)的臨床特徵與診斷經驗.方法 對2000年1月至2008年12月經術後病理證實的22例SPT臨床錶現和影像學、實驗室、手術方式,術後病理檢查等資料進行迴顧性分析.結果首診臨床錶現為上腹部憋脹不適5例.腹部腫物3例,腹痛1例,無任何臨床癥狀13例.血清腫瘤標誌物水平均正常.影像學檢查均提示胰腺或腹膜後邊界清楚的實性或囊實性佔位性病變,腫瘤位于胰頭部10例,胰體部8例,胰尾部4例.覈磁共振(MRI)的診斷符閤率33.3％(2/6),CT為18.2％(4/22).結論 SPT是一種低度噁性腫瘤,多髮于年輕女性,典型的影像學特徵錶現有利于SPT的診斷.
목적 총결이선실성가유두상류(SPT)적림상특정여진단경험.방법 대2000년1월지2008년12월경술후병리증실적22례SPT림상표현화영상학、실험실、수술방식,술후병리검사등자료진행회고성분석.결과수진림상표현위상복부별창불괄5례.복부종물3례,복통1례,무임하림상증상13례.혈청종류표지물수평균정상.영상학검사균제시이선혹복막후변계청초적실성혹낭실성점위성병변,종류위우이두부10례,이체부8례,이미부4례.핵자공진(MRI)적진단부합솔33.3％(2/6),CT위18.2％(4/22).결론 SPT시일충저도악성종류,다발우년경녀성,전형적영상학특정표현유리우SPT적진단.
Objective To summarize the clinical feature and diagnosis experience of sliid pseudopapillary tumor of pancreas (SPT).Methods Clinical manifestations,laboratory examination imageology,operative procedure,pathology of 22 patients from January 2000 to December 2008 were retrospectively analyzed.Results Clinical presentation included a palpable abdominal mass in 3 cases,abdominal pain in 1 cases,abdominal distention in 5 cases,13 cases were asymptomatic.Tumor markers in all patients were negative.Abdominal imaging showed solid and solid cystic masses in pancreas or abdominal cavity.Ten cases located in the head of pancreas,8 cases in the body of pancreas,4 cases in the tail of pancreas.The correct diagnosis proportion of MRI and CT was 33.3％(2/6) and 18.2％(4/22) respectively.Conclusion SPT is one of rare pancreatic neoplasm with low malignant potential,affecting primarily young women.Typital image characteristic contributes to the diagnosis of SPT.
