中国癌症杂志 ›› 2014, Vol. 24 ›› Issue (9): 676-678.doi: 10.3969/j.issn.1007-3969.2014.09.006

• 论著 • 上一篇    下一篇

胰腺实性假乳头状瘤的超声表现

龙江1,罗国培1,金凯舟1,郭萌1,刘祖强1,肖志文1,刘亮1,刘辰1,徐近1,常才2,倪泉兴1,虞先1   

  1. 1. 复旦大学附属肿瘤医院胰腺肝胆外科,复旦大学胰腺肿瘤研究所,复旦大学上海医学院肿瘤学系,上海 200032;

    2. 复旦大学附属肿瘤医院超声诊断科,复旦大学上海医学院肿瘤学系,上海 200032

  • 出版日期:2014-09-30 发布日期:2014-11-12
  • 通信作者: 虞先濬 E-mail:yuxianjun@fudan.edu.cn
  • 基金资助:
    上海市科委启明星人才计划(No:14QA1400900)

The value of ultrasound in detecting solid pseudopapillary tumor of the pancreas

LONG Jiang1, LUO Guo-pei2, JIN Kai-zhou1, GUO Meng1, LIU Zu-qiang1, XIAO Zhi-wen1, LIU Liang1, LIU Chen1, XU Jin1, CHANG Cai2, NI Quan-xing1, YU Xian-jun1   

  1. 1.Department of Pancreas & Hepatobiliary Surgery, Pancreas Disease Institute, Shanghai Cancer Center, Fudan University; Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China; 2.Department of Ultrasound Diagnosis, Shanghai Cancer Center, Fudan University; Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China
  • Published:2014-09-30 Online:2014-11-12
  • Contact: YU Xian-jun E-mail: yuxianjun@fudan.edu.cn

摘要:

背景与目的:超声是体检发现胰腺实性假乳头状瘤(solid pseudopapillary tumor of the pancreasSPTP)的重要手段,本研究对SPTP的超声表现及其诊断价值进行探讨。方法:收集复旦大学附属肿瘤医院经手术病理证实的62SPTP的超声检查资料,并进行总结分析。结果:本组中5例患者超声检查漏诊。SPTP的超声声像学特征包括:肿瘤多较大,以胰体尾多见,边界可较为清楚,形态较为规则,多呈低回声,或者为低回声伴无回声,内部回声多不均匀,少数患者可有钙化,病灶内多无明显血流,多无主胰管及胆总管扩张,多无区域淋巴结肿大。结论:SPTP的超声表现有一定特征性,具有重要的临床应用价值。

关键词: 胰腺实性假乳头状瘤, 诊断, 超声检查

Abstract:

Background and purpose: Ultrasound is a regular screening method of solid pseudopapillary tumor of the pancreas (SPTP). This study was to summarize the diagnostic value of ultrasound to SPTP. Methods: Clinical and ultrasound data of 62 SPTP cases in Fudan University Shanghai Cancer Center were retrospectively collected and analyzed. Results: Five cases of SPTP were undetected by ultrasound in the group. The features of ultrasound including: large mass located at the body and tail of the pancreas, clear boundary and regular shape, low ultrasound with uneven signal, or low signal mixed with no signal. A few cases have calcification and blood signal. Most of the cases presented no dilation of main pancreatic duct and bile duct and regional lymph nodes enlargement. Conclusion: Ultrasound can be used to detect SPTP which has special ultrasound signal features.

Key words: Solid pseudopapillary tumor of the pancreas, Diagnosis, Ultrasound