7例胰腺寡囊性浆液性囊腺瘤MSCT分析.pdfVIP

　 肿瘤预防与治疗　 2015年第28卷第1期　 ·33 · •临床经验与技术交流• 7例胰腺寡囊性浆液性囊腺瘤 MSCT分析 王宗勇,熊　 燕,陈志凡 (成都大学附属医院放射科,成都610081) [摘要]　 目的:探讨胰腺寡囊性浆液性囊腺瘤的MSCT表现。 方法:回顾分析7例经病理证实的胰腺寡囊性浆 液性囊腺瘤的MSCT表现。 结果:2例位于胰头、3例位于胰体、2例位于胰尾。 4 例为分叶状,2例为类圆形,1例形 态不规则。 4例为多囊,3例为单囊。 囊腔大小17~61mm,平均34mm。 4例可见较薄(厚度2mm)分隔。 所有病例 均未见钙化及纤维瘢痕。 囊壁均为均匀菲薄(厚度 2mm)。 2 例可见主胰管扩张。 结论:胰腺寡囊性浆液性囊腺 瘤的特征性表现包括:病灶多位于胰头部、分叶状轮廓、薄而均匀的分隔、缺乏中心瘢痕及钙化、囊壁菲薄、与胰管不 相通。 [关键词] 胰腺肿瘤;囊腺瘤,浆液;体层摄影术,X线计算机 [中图分类号] R735．9;R730．44　 　 [文献标志码] A　 　 doi:10．3969/ j．issn．1674-0904．2015．01．007 MSCT Analysis of Macrocystic Serous Cystadenoma of the Pancreas:A Report of7 Cases Wang Zongyong,Xiong Yan,Chen Zhifan (Department of Radiology,Affiliated Hospital of Chengdu University,Chengdu610081,Sichuan,China) [Abstract]　 Objective: To investigatethemultisliceCT(MSCT)manifestationsof MacrocysticSerousCystadenoma of thePancreas(MSAP). Methods:The MSCT manifestationsof7 casesof MSAPwereanalyzedretrospectively. Allthe7 caseswere pathologically proved. Results:Two caseswere located in the pancreatic head,3 cases in the pancreatic body and2 cases in pancreatic tail. Lobulated contour were found in4 cases,ovoid contour in 2 cases,irregular contour in 1 case. Multicysticwerefoundin4 cases,singlecysticin3 cases. Cystic sizerangedfrom 17 mmto61mmwith anaverage of 34 mm. The thickness of septa in4 caseswere lessthan2mm. Calcification andfiber scar were not found in all cases. Cysticwall were uniformly thin (thickness less than2 mm) at all cases. Main pancreatic duct expansionswerefound in2 cases. Conclusion:Characteristics manifestations of MSAP include:mainly locating in the head of pancreas 、lobulated shape、thin and homogenous septa、absence of center scar