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胰腺导管内乳头状黏液性肿瘤的CT诊断
引用本文:詹勇,向子云,王静波,朱宇辉,杨雪.胰腺导管内乳头状黏液性肿瘤的CT诊断[J].CT理论与应用研究,2010,19(4):85-90.
作者姓名:詹勇  向子云  王静波  朱宇辉  杨雪
作者单位:[1]深圳市龙岗区人民医院影像科,广东深圳518172 [2]复旦大学附属中山医院放射科,上海200032
摘    要:目的:探讨胰腺导管内乳头状黏液性肿瘤(IPMN)的CT表现特征,以提高对该病的诊断能力。方法:回顾性分析经临床手术病理证实的16例IPMN病例CT图像,并作文献复习。结果:16例IPMN病例中,主胰管型3例,表现为主胰管扩张伴管壁结节样突起;分支胰管型7例,表现为分叶状单发囊性病变或葡萄串样多发囊性病变伴腔内分隔或结节样突起;混合型6例,表现为主胰管扩张和囊性病变合并存在。结论:IPMN的CT表现有一定特征性,有助于对该病的正确诊断。

关 键 词:胰腺肿瘤  乳头状瘤  体层摄影术  X线计算机

CT Diagnosis of Intraductal Papillary Mucinous Neoplasm of Pancreas
ZHAN Yong,XIANG Zi-yun,WANG Jing-bo,ZHU Yu-hui,YANG Xue.CT Diagnosis of Intraductal Papillary Mucinous Neoplasm of Pancreas[J].Computerized Tomography Theory and Applications,2010,19(4):85-90.
Authors:ZHAN Yong  XIANG Zi-yun  WANG Jing-bo  ZHU Yu-hui  YANG Xue
Institution:1.Department of Radiology,The people's Hospital of Longgang District,Shenzhen 518172,China 2.Department of Radiology,The Affiliated Zhongshan Hospital,Fudan University,Shanghai 200032,China
Abstract:Objective:To evaluate the CT findings and diagnostic value of intraductal papillary mucinous neoplasms(IPMN) of pancreas.Methods:16 cases of IPMN proved by pathohistological evidence and examined with plain and enhanced CT scans were retrospectively analyzed with literature reviewed.Results:Of 16 cases of IPMN,three cases of main-duct type pancreatic IPMN demonstrated dilation of pancreatic main duct with nodule on the wall of the duct.Five cases of branch-duct type pancreatic IPMN showed solitary or multiplecystic lesion with septa or nodule in the duct.6 cases of mixed type pancreatic IPMN displayed dilation of pancreatic main duct combined with cystic lesion.Conclusion:The CT findings of pancreatic IPMN are of certain characteristics,which is helpful to diagnose the disease correctly.
Keywords:pancreatic neoplasms  papilloma  tomography  X-ray computed
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