中国实用外科杂志2011,Vol.31Issue(9):780-783,4.
肿块型慢性胰腺炎的影像学特征
Imaging features of mass-forming pancreatitis
曾蒙苏 1姚秀忠1
作者信息
- 1. 复旦大学附属中山医院放射科,上海市医学影像研究所,上海,200032
- 折叠
摘要
Abstract
Chronic mass-forming pancreatitis usually included two pathological types: Ordinary chronic mass-forming pancreatitis, characterized by granulation tissue with fibrosis and mass-forming autoimmune pancreatitis, characterized by a dense lymphoplasmacytic infiltration with extensive fibrosis and proliferation. Sometimes it was very difficult to identify pancreatic cancer from chronic mass-forming pancreatitis in the clinical practice. Accurate preoperative diagnosis and differentiation were extremely important for their treatment and prognosis. Chronic mass-forming pancreatitis and pancreatic cancer had their own characteristic imaging findings in CT and MRI respectively, especially in the dynamic contrast-enhanced MRI and DWI. A signal intensity-time (Sl-T) curve with a slow rise followed by a slow decline usually indicated chronic mass-forming pancreatitis, while a SI-T curve with a gradual rise indicated pancreatic cancer. ADC values in chronic mass-forming pancreatitis usually was lower than that in pancreatic cancer.关键词
肿块型慢性胰腺炎/计算机体层摄影/磁共振成像Key words
chronic mass-forming pancreatitis/ computed tomography/ magnetic resonance imaging分类
医药卫生引用本文复制引用
曾蒙苏,姚秀忠..肿块型慢性胰腺炎的影像学特征[J].中国实用外科杂志,2011,31(9):780-783,4.