安徽卫生职业技术学院学报
安徽衛生職業技術學院學報
안휘위생직업기술학원학보
JOURNAL OF ANHUI HEALTH VOCATIONAL & TECHNICAL COLLEGE
2014年
4期
31-32
,共2页
张敏%周良平%许小伍%张军%诸晓燕
張敏%週良平%許小伍%張軍%諸曉燕
장민%주량평%허소오%장군%제효연
实性假乳头状瘤%胰腺%体层摄影术%X线计算机
實性假乳頭狀瘤%胰腺%體層攝影術%X線計算機
실성가유두상류%이선%체층섭영술%X선계산궤
Solid pseudopapillary tumor%Pancreas%Tomography%X-ray computed
目的:探讨胰腺实性假乳头状瘤(SPTP)CT表现及诊断价值。方法:回顾性分析经手术病理证实的20例SPTP的CT表现。结果:SPTP呈圆形、类圆形,形态规则7例,不规则9例;11例囊实性相仿,6例囊性为主,3例实性为主。15例包膜显示。9例伴钙化。12例肿块与胰腺交界区见“杯口征”。实性呈附壁结节或“浮云征”,囊性呈“裂隙征”或网格样或大片分布。动态增强16例SPTP实性成分早期不均匀和渐进性强化,8例出现网格样、环形强化,囊变区无强化;包膜强化早且持续强化。结论:SPTP具有典型CT表现,MDCT薄层扫描及图像后处理价值较大,可为临床诊疗提供重要依据。
目的:探討胰腺實性假乳頭狀瘤(SPTP)CT錶現及診斷價值。方法:迴顧性分析經手術病理證實的20例SPTP的CT錶現。結果:SPTP呈圓形、類圓形,形態規則7例,不規則9例;11例囊實性相倣,6例囊性為主,3例實性為主。15例包膜顯示。9例伴鈣化。12例腫塊與胰腺交界區見“杯口徵”。實性呈附壁結節或“浮雲徵”,囊性呈“裂隙徵”或網格樣或大片分佈。動態增彊16例SPTP實性成分早期不均勻和漸進性彊化,8例齣現網格樣、環形彊化,囊變區無彊化;包膜彊化早且持續彊化。結論:SPTP具有典型CT錶現,MDCT薄層掃描及圖像後處理價值較大,可為臨床診療提供重要依據。
목적:탐토이선실성가유두상류(SPTP)CT표현급진단개치。방법:회고성분석경수술병리증실적20례SPTP적CT표현。결과:SPTP정원형、류원형,형태규칙7례,불규칙9례;11례낭실성상방,6례낭성위주,3례실성위주。15례포막현시。9례반개화。12례종괴여이선교계구견“배구정”。실성정부벽결절혹“부운정”,낭성정“렬극정”혹망격양혹대편분포。동태증강16례SPTP실성성분조기불균균화점진성강화,8례출현망격양、배형강화,낭변구무강화;포막강화조차지속강화。결론:SPTP구유전형CT표현,MDCT박층소묘급도상후처리개치교대,가위림상진료제공중요의거。
Objective:To explore characteristics and diagnostic value of solid pseudopapillary tumor of pancreas (SPTP)on Computed Tomography (CT). Methods:The CT imaging features of 20 cases SPTP with the surgically and pathologically proved were analyzed retrospectively. Results:Their shapes were round or oval,and regular in 7 cases, irregular in 9 cases. The components of solid-cystic were similar in 11 cases, predominantly component of cystic in 6 cases and solid in 3 cases. The coated were displayed in 15 cases and 9 cases with calcification. The bordering of tumor and pancreatic were“Sign at Top”in 12 cases. The component of solid were mural nodule or“cloud syndrome”and cystic were“Crack Sign”or alveolate or large distribute. The solid area of SPTP was early heterogeneous and slowly progressive enhancement in 16 cases, and the enhancement of alveolate and circular in 8 cases. However, the cystic area was not enhancement. The coated enhancement was early and continuous of tumor. Conclusion:The CT charac-teristics of SPTP are typical. It is greater value in diagnosis SPTP that thin layer scan of multi-detector spiral CT (MDCT) and post-processing of CT imaging, which can provides important information for clinical diagnosis and treatment.