CAJ | 학술논문

目的：探讨胰腺实性假乳头状瘤（solid pseudopapillarv tumor of the pancreas ，SPTP）的 CT 表现，以提高术前诊断水平。方法回顾性分析胰腺实性假乳头状瘤的 CT 表现及临床资料，并对其进行分析总结。结果14例胰腺实性假乳头状瘤的 CT 表现为不同比例的囊实性肿块，呈现类圆形或分叶状，有包膜，部分病灶内可见有钙化，通常不引起胰腺管的扩张或胰腺的萎缩，动脉增强后实行部分渐进性轻度强化，囊变部分不强化，部分患者可出现淋巴结转移。结论 SPTP 临床诊断相对比较困难，SPTP 在 CT 上有一定的特点，结合临床其他资料，能明显提高术前诊断的准确性。
목적：탐토이선실성가유두상류（solid pseudopapillarv tumor of the pancreas ，SPTP）적 CT 표현，이제고술전진단수평。방법회고성분석이선실성가유두상류적 CT 표현급림상자료，병대기진행분석총결。결과14례이선실성가유두상류적 CT 표현위불동비례적낭실성종괴，정현류원형혹분협상，유포막，부분병조내가견유개화，통상불인기이선관적확장혹이선적위축，동맥증강후실행부분점진성경도강화，낭변부분불강화，부분환자가출현림파결전이。결론 SPTP 림상진단상대비교곤난，SPTP 재 CT 상유일정적특점，결합림상기타자료，능명현제고술전진단적준학성。
Objective:Objective To explore the solid pseudopapillary tumor of the pancreas( solid pseudopapillarv tumor of the pancreas,SPTP)CT,in order to improve the preoperative diagnostic level. Methods:a retrospective analysis of the clinical data and CT findings of solid pseudopapillary tumors of pancreas,and carries on the analysis summary. Re-sults:14cases of pancreatic solid pseudopapillary tumor of the CT performance for different proportion of solid and cystic masses,showing round,lobular,visible calcification,part of the lesion within the envelope,arterial enhancement after the introduction of some progressive enhancement,cystic part is not enhanced. Conclusion:The clinical diagnosis of SPTP is relatively difficult,SPTP has some characteristics on CT,combined with other clinical data,accuracy can significantly im-prove the preoperative diagnosis.