胰腺腺泡细胞癌的CT表现

doi:10.3969/j.issn.1007-3969.2016.03.012

中国癌症杂志 ›› 2016, Vol. 26 ›› Issue (3): 276-280.doi: 10.3969/j.issn.1007-3969.2016.03.012

• 论著 • 上一篇

胰腺腺泡细胞癌的CT表现

陈　辉¹ ，卢良建¹，朱　晖²

1. 浙江省临海市第一人民医院放射科，浙江临海 317000 ；
2. 复旦大学附属肿瘤医院放射诊断科，复旦大学上海医学院肿瘤学系，上海 200032

出版日期:2016-03-30 发布日期:2016-06-13
通信作者: 卢良建　E-mail:112845917@qq.com

CT characteristics of acinar cell carcinoma of the pancreas

CHEN Hui¹, LU Liangjian¹, ZHU Hui²

1. Linhai City First People’s Hospital, Linhai 317000, Zhejiang Province, China; 2. Department of Diagnostic Radiology, Fudan University Shanghai Cancer Center, Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China

Published:2016-03-30 Online:2016-06-13
Contact: LU Liangjian E-mail: 112845917@qq.com

摘要/Abstract

摘要： 背景与目的：胰腺腺泡细胞癌(acinar cell carcinoma of the pancreas，ACCP)是一种罕见的胰腺恶性肿瘤，相关的影像学报道较少。该研究旨在探讨ACCP的CT表现。方法：收集自2011年1月—2014年1月经手术病理证实为ACCP的9例患者资料，回顾性分析其CT征象。结果：在9例ACCP患者中，肿块最大径均值为52 mm，肿瘤边缘不清的6例(66.7%)，外生型生长者有6例(66.7%)，强化程度低于正常胰腺组织者8例(88.9%)，强化不均者6例(66.7%)，累及血管者7例(77.8%)，淋巴结转移者5例(55.6%)，无出现肝转移病例，仅1例出现胰管扩张。结论：较大体积的乏血供胰腺肿块，内部异质性明显，呈外生型生长而无显著胰管扩张时，提示ACCP的可能。

关键词: 胰腺肿瘤, 腺泡细胞癌, 计算断层扫描

Abstract: Background and purpose: Acinar cell carcinoma of the pancreas (ACCP) is a rare malignant tumor and a few radiologic reports have been published. This study aimed to evaluate the CT characteristics of ACCP. Methods: CT signs of 9 cases of pathologically confirmed ACCP were analyzed retrospectively. Results: The mean value of longest diameter of the 9 cases of ACCP was 52 mm. Among the 9 cases, 6 cases (66.7%) had ill-defined border, 6 cases (66.7%) showed exophytic type, 8 cases (88.9%) showed enhancement degree less than normal pancreatic tissue, 6 cases (66.7%) represented heterogeneous enhancement, 7 cases (77.8%) showed invaded vessel, 5 cases (55.6%) had lymph node metastasis, and none had hepatic metastasis. Dilated pancreatic duct was observed in only 1 case. Conclusion: When pancreatic mass is large, heterogeneous, exophytic and without dilated pancreatic duct, ACCP is suggested.

Key words: Pancreatic neoplasm, Acinar cell carcinoma, Computed tomography

陈　辉,卢良建,朱　晖. 胰腺腺泡细胞癌的CT表现[J]. 中国癌症杂志, 2016, 26(3): 276-280.

CHEN Hui, LU Liangjian, ZHU Hui. CT characteristics of acinar cell carcinoma of the pancreas[J]. China Oncology, 2016, 26(3): 276-280.

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[3]	朱宏达,马尘超,艾开兴. 微小RNA-214在胰腺癌中的表达及临床意义研究[J]. 中国癌症杂志, 2014, 24(8): 594-598.

胰腺腺泡细胞癌的CT表现

CT characteristics of acinar cell carcinoma of the pancreas

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