ISSN 1004-4140
CN 11-3017/P

MSCT在少儿胰腺实性假乳头状瘤诊断中的应用

Application of MSCT in the Diagnosis of Solid Pseudopapillary Tumour of Pancreas on Children

  • 摘要: 目的:分析少儿胰腺实性假乳头状瘤(SPTP)的多层螺旋CT(MSCT)检查特征,提高其术前诊断正确率。方法:回顾性分析资料完整的7例SPTP患儿的临床资料及MSCT图像。结果:肿瘤均为单发,3例位于胰头颈部,4例位于胰体尾部,长径为3.1~9.6 cm,平均5.9 cm,境界清晰。5例为囊实相间型,2例囊性为主型,1例肿瘤伴钙化,1例伴出血,2例伴远端胰管轻度扩张,1例伴胰周淋巴结增大。增强扫描肿瘤实性部分呈渐进性强化,囊性区无强化。结论:少儿SPTP的MSCT表现具有一定特征性,再结合临床病史,可提高该病的术前诊断正确率。

     

    Abstract: Objective: Analysis of solid pseudopapillary tumor of the pancreas in children of multi-slice CT features, Improve preoperative diagnostic accuracy. Methods: Clinical data and MSCT images of 7 patients with SPTP were retrospectively analyzed. Results: All the tumors were single, 3 were in the head and neck of the pancreas, and 4 were in the tail of the pancreas. The long diameter is 3.1~9.6 cm, with an average of 5.9 cm, the boundary is clear. 5 cases with alternately solid and cystic component and 2 cases with predominantly cystic component. 1 case accompanied by calcification, 1 case with hemorrhage, 2 cases with distal pancreatic duct distension, and 1 case with peripancreatic lymph node enlargement. The enhancement of the solid part of the scanning tumor was progressive enhancement, and the cystic area was not enhanced. Conclusion: The MSCT expression of SPTP in children has certain characteristics, combined with clinical history, the preoperative diagnostic accuracy of the disease can be improved.

     

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