自身免疫性胰腺炎与胰腺癌的CT鉴别诊断价值.pdfVIP

CHINESE JOURNAL OF CT AND MRI,APR 2011,Vol.9,No.2 total No.37 Discrimination of autoimmune pancreati- tis from pancreatic carcinoma on CT 1 1 1 2 1 1 论 著 WANG Jing-bo , XIANG Zi-yun , ZHAN Yong , Li Qin , CAI Han-shou , ZHU Yu-hui , 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 自身免疫性胰腺炎 [Abstract] Objective To assess CT features in differentiating autoimmune pancreatitis 与胰腺癌的CT鉴别 (AIP) from pancreatic carcinoma. Methods 8 patients with autoimmune pancreatitis (AIP) and 8 patients with pancreatic carcinoma were investigated retrospectively. The CT find- 诊断价值 ings in both AIP and pancreatic carcinoma was compared regarding the following factors: 1. diffuse enlargement/focal lesion,and enhancement of the pancreas; 2.the presence of a cap- sule-like rim (sausage shaped); 3.vessel involvement; 4.pancreatic calcifcations; 5. paeudocyst; 6. pancreatic duct changes; and 7.renal involvement. Statistical analysis was 1.广东深圳市龙岗区人民医院影像科 performed with the paired t test. Results The incidence of the following CT findings had 2.上海复旦大学附属中山医院放射科 significant differences in patients between AIP and pancreatic carcinoma ( P 0.05): diffuse 王静波1 1 1 enlargement and enhancement of the pancreas, the presence of a capsule-like rim, vessel 向子云 詹 勇 2 1 1 involvement, c