多层螺旋计算机断层扫描在胰腺黏液性囊性肿瘤和浆液性囊腺瘤诊断中的应用
[Multi-slice computed tomography for diagnosis of mucinous cystic neoplasms and serous cystadenomas of the pancreas].
作者信息
Ju Zhiguo, Lu Hong, Zhu Hui, Li Qinghai, Zhang Shizheng
机构信息
Department of Radiology, Zhejiang University School of Medicine, Hangzhou, China.
出版信息
Nan Fang Yi Ke Da Xue Xue Bao. 2012 Jan;32(1):19-22.
OBJECTIVE
To assess the value of multi-slice computed tomography (MSCT) in the diagnosis and differential diagnosis of pancreatic mucinous cystic neoplasms and serous cystadenoma.
METHOD
The MSCT images were reviewed for 19 pathologically confirmed cases of pancreatic mucinous cystadenomas and 13 cases of pancreatic serous cystadenomas (n=13) treated in our center between July, 2003 and December, 2009. The CT features were analyzed including the tumor location, contour, dimension of the largest cyst, cystic wall, septation, presence of calcification, solid component, pancreatic atrophy, main pancreatic duct dilatation, and lesion margins.
RESULTS
Significant differences were found between the two groups in lesion diameter (P=0.009), cyst distribution of the largest cyst (>2 cm) (P=0.01), and the presence of solid component (P=0.02).
CONCLUSION
MSCT can be of important value in the diagnosis and differential diagnosis of pancreatic mucinous cystic neoplasms and serous cystadenomas.
目的
评估多层螺旋计算机断层扫描（MSCT）在胰腺黏液性囊性肿瘤和浆液性囊腺瘤诊断及鉴别诊断中的价值。
方法
回顾性分析2003年7月至2009年12月在本中心接受治疗的19例经病理证实的胰腺黏液性囊腺瘤和13例胰腺浆液性囊腺瘤的MSCT图像。分析CT特征，包括肿瘤位置、轮廓、最大囊肿尺寸、囊壁、分隔、钙化情况、实性成分、胰腺萎缩、主胰管扩张及病变边界。
结果
两组在病变直径（P = 0.009）、最大囊肿（>2 cm）的囊肿分布（P = 0.01）及实性成分的存在情况（P = 0.02）方面存在显著差异。
结论
MSCT在胰腺黏液性囊性肿瘤和浆液性囊腺瘤的诊断及鉴别诊断中具有重要价值。
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