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目的:探讨胰腺囊腺瘤与囊腺癌的CT表现。方法:回顾性分析经手术及病理证实的10例胰腺囊腺瘤与囊腺癌的CT表现,总结其特征性表现。结果:本病多发生于中老年女性。发病部位以胰体尾部多见。分叶状轮廓、典型的“蜂巢”样结构及包含有单个或多个大囊但病灶仍以多数小囊为主对诊断胰腺浆液性囊腺瘤的特异性很高,达100%。血管周围有软组织影包绕以及病灶内实性成分增多,多提示恶性。结论:胰腺浆液性囊腺瘤的CT表现具有特异性,多可做出诊断与鉴别诊断。
Objective: To investigate the CT findings of pancreatic cystadenoma and cystadenocarcinoma. Methods: CT findings of 10 cases of pancreatic cystadenoma and cystadenocarcinoma confirmed by surgery and pathology were retrospectively analyzed, and the characteristic manifestations were summarized. Results: The disease occurred in middle-aged women. The incidence of pancreatic body parts to more common. The lobulated contour, the typical “honeycomb” -like structure and the inclusion of one or more large sacs, but still predominantly small in size, are highly specific for the diagnosis of pancreatic serous cystadenoma with a 100% specificity. Peripheral vascular soft tissue shadow around the lesion and the increase in solid composition, and more tips malignant. Conclusion: The CT findings of pancreatic serous cystadenoma are specific and can make more diagnosis and differential diagnosis.