不同性别胰腺实性假乳头状瘤的CT表现

The CT Manifestations of Solid Pseudopapillary Tumor of Pancreas in Different Sex

目的 探讨不同性别胰腺实性假乳头状瘤（SPTP）的CT表现特点,提高诊断水平。方法 搜集67例（男14例,女53例）具有完整临床及CT资料的SPTP患者,全部经手术及病理证实,回顾性分析不同性别SPTP的CT表现。结果 （1）男性患者年龄12~63岁,平均34.5岁（34.50±14.68）;女性患者年龄12~50岁,平均27.5岁（27.53±9.29）。（2）男性患者肿瘤最大径2.2~11.3 cm,平均3.87 cm（3.87±1.75）;女性患者肿瘤最大径1.2~7.5 cm,平均5.33 cm（5.33±2.21）。（3）男性中10例病变内有钙化,钙化发生率为71.4%;女性中20例病变内有钙化,钙化发生率为37.7%。结论 不同性别SPTP的CT表现有相对特殊性,相对于女性患者,男性患者的发病年龄较大、病灶较小、钙化发生率较高。

Objective To explore the special CT findings of solid pseudopapillary tumor of pancreas （SPTP） in different sex, to improve the diagnostic level of SPTP. Methods Collected 67 cases of SPTP （ including 14 cases of male, 53 cases of female） with complete clinical and CT data, all eases were confirmed by operation and pathology; retrospectively analyze SPTP＇s CT performance in different sex. Results （ 1 ） age of male ： 12 - 63 years old, the average age was 34.5 years （ 34.50 ± 14.68 ） ; age of female ： 12 - 50 years old, the average age was 27.5 years （27.53 ± 9.29）. （2） In male, the maximum diameter 2.2 - 11.3cm, average 3.87cm （3.87 ± 1.75） ; in female, the maximum diameter 1.2 - 7.5cm, average 5.33era （5.33 ± 2.21 ）. （3） In male, 10 cases lesions with calcification, calcification incidence rate is 71.4% （10/14） ; in female, 20 cases lesions with calcification, calcification incidence rate is 37.7% （20/53）. Conclusion The SPTP with relative particularity CT performance in different sex, compared with female patients, the male patients with： the age of onset is older, the volume or tumor is smaller, and the incidence of calcification is higher.