| 徐颂敏,胡增刚,马周鹏,谢一平,陈湛.29例青年胰腺恶性肿瘤的CT表现及临床分析[J].浙江中西医结合杂志,2015,25(9): |
| 29例青年胰腺恶性肿瘤的CT表现及临床分析 |
| CT representation and clinical analysis of 29 cases of youthful pancreatic malignant tumor |
| 投稿时间：2015-03-05 修订日期：2015-03-05 |
| DOI： |
| 中文关键词: 胰腺 恶性肿瘤 X线计算机 体层摄影术 青年 |
| 英文关键词:Pancreas Malignant neoplasms X-ray computed Tomgraphy Youth |
| 基金项目: |
|
| 摘要点击次数: 1127 |
| 全文下载次数: 0 |
| 中文摘要: |
| 目的 探讨青年胰腺恶性肿瘤的临床特点和CT表现,提高诊治水平。方法 回顾性分析29例青年胰腺恶性肿瘤的临床特点和CT表现。结果 29例中实性假乳头状肿瘤10例,导管腺癌7例,内分泌肿瘤7例,黏液性囊腺癌2例,淋巴瘤2例,胰腺导管内乳头状癌1例；4例内分泌肿瘤出现内分泌症状,其余以腹痛、腹胀、腹部包块、食欲减退等为主而无特异性表现；不同肿瘤的CT表现各有其特点；仅18例行根治性手术；随访2～30个月,13例死亡,14例存活,2例失访。结论 青年胰腺恶性肿瘤多数早期无特殊症状而容易误诊,实性假乳头状肿瘤和功能性内分泌肿瘤预后较好,其他多数预后不良；CT对其诊断有较大优势,应重视CT在其诊疗中的应用。 |
| 英文摘要: |
| Objective To explore the CT representation and clinical characters of youthful pancreatic malignant tumor(PMT) and improve diagnostic and therapeutic level.Methods The CT and clinical information of 29 cases of youthful PMT were analyzed retrospectively. Results Among 29 cases,there were 10 cases solid pseudopapillary neoplasms,7 cases ductal adenocarcinomaes,7 cases endocrine tumors,2 cases mucinous cystadenocarcinomaes,2 cases lymphomaes,and 1 case intraductal papillary mucious carcinoma; 4 cases of endocrine tumors showed endocrine symptoms, the rest tumors presented with abdominal pain,abdominal distension,abdominal mass,appetite decrease and with no specific symptom;the CT representations of different tumors were diverse; 18 cases accepted radical operation; 29 cases were followed up from 2 months to 30 months, 13 cases died,14 cases were alive and 2 cases were lost. Conclusion Most PMT of youth present with no specific symptom and are easy to misdiagnosed, solid pseudopapillary neoplasms and functioning endocrine tumors always show well ending while most other tumors with bad ending; CT is important for diagnosis and deserve great attention in clinic. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
| 关闭 |
|
|
|
