胰腺囊腺瘤的多层螺旋CT诊断价值探讨

The value of the CT in diagnosing of the pancreatic cystadenoma

目的:胰腺囊腺瘤属于少见的胰腺良性囊性肿瘤,文章中探讨胰腺囊腺瘤的CT表现,提高对该病的诊断水平。方法:回顾性分析20例经手术病理证实的胰腺囊腺瘤患者的CT表现,总结其特征性表现。结果:胰腺囊腺瘤好发于中老年女性,20例患者均呈单囊或多囊状改变,囊大小不等,无明显特异性。单囊14例,多囊6例,4例囊内有分隔,见壁结节4例,2例见有点状、泥沙状钙化,1例伴有胆结石,1例肾囊肿,1例肝囊肿,1例伴有脾脏炎性假瘤。结论:胰腺囊腺瘤在CT检查中有一定的特异性,表现典型者可做出明确诊断。

Pancreatic cystadenoma is a rare tumor among the cystic pancreatic lesions. This study aimed to explore the CT findings of pancreatic cystadenoma and to improve the diagnostic level of the disease. Methods：We retrospectively analyzed the CT findings of 20 cases of pancreatic cystadenoma confirmed by surgery and pathology. Results： Most lesions occurred in middle aged women. All the 20 cases exhibited single or multiple cystic lesions of different sizes, inwhich 14 cases prosented with single cyst and 6 cases with multiple cysts, 4 cases with internal septation, 4 cases wltla papillary projection of the inner wall, 2 eases with punctuated or sand-like particle calcification, 1 case combined with gallstone, 1 case combined with renal cyst, 1 case combined with hepatic cyst, and 1 case combined with inflammatory pseudotumor of spleen. Conclusion：Pancreatic cystadenoma has Specific characteristics in CT and can be distinctively diagnosed in typical appearance cases.