重庆医学2011，Vol.40Issue(28)：2833-2835,3.DOI:10.3969/j.issn.1671-8348.2011.28.010
胰腺癌与反复发作性胰腺炎的临床及CT鉴别诊断
The clinical manifestations and CT differential diagnosis of pancreatic carcinoma and recurrent pancreatitis
摘要
Abstract
Objective To raise awareness and decrease the misdiagnosis of pancreatic carcinoma by studying the clinical and CT findings of pancreatic carcinoma and recurrent pancreatitis.Methods Clinical manifestations and CT findings of 34 histologically confirmed cases(13 cases with pancreatic carcinomas and 21 with recurrent pancreatitis)from 9,2008 to 8,2010 were studied retro spectively.Results (1) Compared with recurrent pancreatitis group,the serum amylase had no significant difference in pancreatic carcinoma group(P＞0.05).(2) In CT findings most cases in pancreatic carcinoma group showed locally enlarged pancreas with mass-like or nodular enhancement, but the recurrent pancreatitis cases showed slightly inhomogenous non-mass-like contrast.(3)Pancreatic ducts enlargement were found in 6 pancreatic carcinoma cases and 8 recurrent pancreatitis cases, respectively(P＜0.05).Sudden stopped pancreatic ducts were investigated in cancerous areas of 5 cases in pancreatic carcinoma group(P＜0.05).1 case of pancreatic carcinoma and 8 cases of recurrent pancreatitis had enlarged pancreatic ducts in the whole diseased areas(P＜0.05).( 4 )8 and 2 cases were respectively found parapancreatic lymphadenopathy in the pancreatic carcinoma and recurrent pancreatitis groups (P＜0.05).Parapancreatic blood vessels of 6 cases in pancreatic carcinoma group were changed, but no changes of parapancreatic blood vessels was found in recurrent pancreatitis group.Conclusion Two groups have the similar serum amylase change,and differ entiation diagnosis can not be made.Special changes were found in C.T between two groups.CT lends the confidence to make the differentiation of diagnosis.关键词
胰腺肿瘤/胰腺炎/体层摄影术,X线计算机Key words
pancreatic neoplasms / pancreatitis / tomography, X-ray computed引用本文复制引用
梁秀梅..胰腺癌与反复发作性胰腺炎的临床及CT鉴别诊断[J].重庆医学,2011,40(28):2833-2835,3.
