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罕见胰腺肿瘤:典型实性假乳头状肿瘤的MDCT和MRI特征

Rare pancreatic neoplasm: MDCT and MRI features of a typical solid pseudopapillary tumor.

作者信息

Palmucci Stefano, Uccello Alessandra, Leone Giorgia, Failla Giovanni, Ettorre Giovanni Carlo

机构信息

Radiodiagnostic and Oncological Radiotherapy Unit, University Hospital Policlinico-Vittorio Emanuele, Catania, Italy.

出版信息

J Radiol Case Rep. 2012 Jan;6(1):17-24. doi: 10.3941/jrcr.v6i1.823. Epub 2012 Jan 1.

Abstract

Solid pseudopapillary tumor of the pancreas is a rare neoplasm, predominantly observed in young women and with greatest incidence in the second and third decade. It has clinically good behavior, although large at the time of diagnosis. We report the case of a thirty-year-old woman with a giant mass in the pancreas, incidentally discovered during an abdominal ultrasonography. The mass was later investigated by multidetector computed tomography and magnetic resonance imaging. The cystic-solid appearance of the encapsulated lesion suggested to radiologists the possibility of a solid pseudopapillary tumor. Imaging features of this pancreatic neoplasm and differential diagnosis from other cystic pancreatic tumors are discussed in our report, in order to help radiologists and clinicians achieve correct diagnosis and management.

摘要

胰腺实性假乳头状肿瘤是一种罕见的肿瘤,主要见于年轻女性,发病高峰在二三十岁。尽管在诊断时肿瘤较大,但临床行为良好。我们报告一例30岁女性,在腹部超声检查时偶然发现胰腺有巨大肿块。随后通过多排螺旋计算机断层扫描和磁共振成像对该肿块进行了检查。包膜完整的病变呈囊实性外观,放射科医生据此怀疑为实性假乳头状肿瘤。我们的报告讨论了这种胰腺肿瘤的影像学特征以及与其他胰腺囊性肿瘤的鉴别诊断,以帮助放射科医生和临床医生做出正确的诊断和治疗。

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