發(fā)布時間：2018-06-07 04:30

  本文選題：胰腺腫瘤 + 體層攝影術(shù)�。� 參考：《中國臨床醫(yī)學(xué)影像雜志》2017年07期

【摘要】：目的:探討胰腺導(dǎo)管內(nèi)乳頭狀黏液性腫瘤(IPMN)的CT影像特征,重點研究重度異性增生IPMN的CT特征。資料與方法:本研究搜集并回顧分析了39例IPMN患者的臨床資料、病理資料及CT影像表現(xiàn),運用統(tǒng)計學(xué)方法分析重度異型增生IPMN與輕-中度異型增生IPMN患者及浸潤性癌患者的CT影像學(xué)差異。結(jié)果 :重度異型增生IPMNs的CT影像表現(xiàn)部分與浸潤性癌類似,提示有一定的惡性傾向(囊壁增厚、壁內(nèi)結(jié)節(jié)、囊壁及結(jié)節(jié)強(qiáng)化);部分與輕-中度異型增生IPMN類似,提示有一定的良性傾向(較少出現(xiàn)胰腺周圍滲出及淋巴結(jié)腫大)。結(jié)論:重度異型增生IPMN的CT表現(xiàn)介于輕-中度異型增生IPMN及浸潤性癌兩組間,具有一定特征。因其特殊的影像特征,臨床上對于重度異性IPMN更需引起足夠重視。
[Abstract]:Objective: to investigate the CT features of intraductal papillary mucinous neoplasms of the pancreas (IPMN), and to study the CT features of severe dysplastic IPMN. Materials and methods: the clinical data, pathological data and CT findings of 39 patients with IPMN were collected and analyzed retrospectively. The CT imaging differences of severe dysplasia (IPMN), mild to moderate dysplasia (IPMN) and invasive carcinoma were analyzed by statistical method. Results: the CT findings of severe dysplasia IPMNs were similar to those of invasive carcinoma, suggesting that there were some malignant tendencies (cystic wall thickening, intramural nodules, cystic wall and nodular enhancement), and some of them were similar to mild to moderate dysplasia IPMN. It suggests that there is a certain benign tendency (there is less peripancreatic exudation and lymph node enlargement. Conclusion: the CT features of severe dysplasia IPMN are between mild and moderate dysplasia IPMN and invasive carcinoma. Due to its special imaging features, it is necessary to pay more attention to severe heterosexual IPMN clinically.
【作者單位】： 嘉興市第一醫(yī)院;
【分類號】：R730.44;R735.9

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1 王旭;陳寶振;肖金生;高艷妮;;膽囊絨毛腺管狀腺瘤伴重度異型增生一例[J];中國CT和MRI雜志;2014年05期

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本文編號：1989779