论文部分内容阅读
患者女性,60岁。外伤后CT检查发现胰尾部占位性病变。之前患者无任何不适。辅助检查:血、尿淀粉酶,肝与肾功能,血糖及血清肿瘤指标CAl99、CAl25、CEA、TAM和AFP均正常。B超检查示胰尾部边界较清的囊实性病灶,呈蜂窝状样回声,囊壁或分隔处可测及点线状彩色血流及动脉血流信号,RI:0.62。CT示胰尾部局限性肿块,边界清楚,含多个低密度小囊,囊腔大小不等,增强后肿块内间隔呈轻~中度强化图像(图1)。临床诊断:胰腺良性肿瘤,行胰体尾部肿
Patient female, 60 years old. Post-traumatic CT examination found that the tail of the pancreas space-occupying lesions. Before the patient without any discomfort. Auxiliary examination: blood, urine amylase, liver and kidney function, blood glucose and serum tumor markers CAl99, CAl25, CEA, TAM and AFP were normal. B-ultrasound showed cystic solid lesions with a clear border of the tail of the pancreas showing a honeycomb-shaped echogenicity. The linear or segmental color flow and arterial blood flow signals were measured at the wall or at the separation wall. The RI was 0.62. CT showed limited pancreatic tail mass, clear boundary, with a number of low-density small cysts, cysts size ranging from enhanced intraluminal tumor was light to moderate enhanced image (Figure 1). Clinical diagnosis: benign pancreatic cancer, pancreatic body tail swelling