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目的探讨胰腺实性-假乳头状瘤的临床特点及CT特征,提高CT诊断水平。方法回顾分析经手术及病理证实的2例胰腺实性-假乳头状瘤的临床及影像资料,并复习文献。结果本文2例均发生于年青女性(17岁及39岁),临床均以偶发腹部肿块就诊。2例均发生于胰头部。CT主要表现为囊实性结构,1例伴有点条状钙化。肿块均较大(7.7 cm×9.8 cm×12 cm及5.8 cm×8.2 cm×9.0 cm),邻近结构受压移位,1例伴胰管轻度扩张,1例门静脉受侵。结论发生于胰头部的实性-假乳头状瘤具有一定的特征。
Objective To investigate the clinical features and CT features of solid-pseudopapillary tumor of pancreas and to improve the diagnostic value of CT. Methods The clinical and imaging data of 2 cases of solid-pseudopapillary pancreatic tumors confirmed by surgery and pathology were retrospectively reviewed. The literature was reviewed. Results In this paper, 2 cases occurred in young women (17 years old and 39 years old), clinically with occasional abdominal mass treatment. 2 cases occurred in the head of the pancreas. CT showed mainly solid structure, 1 case with dotted calcification. The tumors were larger (7.7 cm × 9.8 cm × 12 cm and 5.8 cm × 8.2 cm × 9.0 cm). The adjacent structures were displaced by pressure. One patient had slight dilatation of the pancreatic duct and one patient had portal vein invasion. Conclusion The solid-pseudopapillary tumor, which occurs in the head of pancreas, has certain characteristics.