胰腺浆液性囊腺瘤的CT表现类型分析  

Analysis and Classification of CT Manifestations of Pancreatic Serous Cystic Neoplasms

作　　者：陈伯柱 周群[1] 黎琪[4] 唐敏[1,2,3] Chen Bo-zhu;Zhou Qun;Li Qi;Tang Min(Department of Radiology,Nanjing Drum Tower Hospital,The Affiliated Hospital of Nanjing University Medical School,Nanjing 210008,Jiangsu Province,China;Medical Imaging Center,Nanjing Drum Tower Hospital,The Affiliated Hospital of Nanjing University Medical School,Nanjing 210008,Jiangsu Province,China;Nanjing University Institute of Medical Imaging and Artificial Intelligence,Nanjing 210008,Jiangsu Province,China;Department of Pathology,Nanjing Drum Tower Hospital,The Affiliated Hospital of Nanjing University Medical School,Nanjing 210008,Jiangsu Province,China)

机构地区：[1]南京大学医学院附属鼓楼医院影像科,江苏南京210008 [2]南京大学医学院附属鼓楼医院医学影像中心,江苏南京210008 [3]南京大学医学影像与人工智能研究所,江苏南京210008 [4]南京大学医学院附属鼓楼医院病理科,江苏南京210008

出　　处：《中国CT和MRI杂志》2023年第11期97-99,共3页Chinese Journal of CT and MRI

基　　金：南京鼓楼医院临床研究专项资金(2022-YXZX-YX-07)。

摘　　要：目的分析胰腺浆液性囊腺瘤(SCN)的CT表现,讨论其影像学分型。方法回顾性分析62例经病理证实的SCN的临床、病理及CT资料,根据CT上所显示病灶的囊腔数量、大小和排列形态将SCN分为单囊型、多囊型、混合型、蜂巢型和实型,比较各型的性别、年龄、位置及大小。结果62例SCN中病灶单发56例,其中单囊型12例,多囊型17例,混合型12例,蜂巢型12例,实型3例,各型的性别构成、病灶位置及肿瘤长径无显著性差异,而多囊型的年龄显著低于混合型、蜂巢型及实型;4例病灶多发,共8个病灶,其中单囊型1个,多囊型2个,混合型2个,蜂巢型3个;2例胰内弥漫分布,均表现为混合型。结论SCN的CT表现多样,可以单发、多发、胰腺内弥漫分布,单囊型、多囊型、混合型、蜂巢型、实型可以较全面地概括其CT表现。Objective To analyze the findings and optimize the classification of pancreatic serous cystic neoplasms(SCNs)on preoperative CT scans.Methods The CT data of 62 patients with pathologically confirmed SCN were retrospectively reviewed.The SCNs were divided into unilocular,multilocular,mixed,honeycomb and solid type according to size,multiplicity and arrangement of the cysts.Results Fifty-six of the 62 patients showed single SCN,including 12 cases of unilocular type,17 of multilocular type,12 of mixed type,12 of honeycomb type,and 3 of solid type.There was no significant difference in sex composition,lesion location and tumor length and diameter among groups,but the age of multilocular type cases was significantly lower than that of mixed type,honeycomb type and solid type.Four cases showed multiple lesions,among those 8 lesions,1 was unilocular type,2 were multilocular type,2 were mixed type and 3 were honeycomb type.Two cases of diffuse pancreatic SCNs showed mixed type.Conclusion SCNs shows diverse CT manifestations,including unilocular,multilocular,mixed,honeycomb and solid types.In addition,it can be manifested as multiple lesions and diffuse lesions in pancreas.

关 键 词：胰腺肿瘤 浆液性囊腺瘤 体层摄影术 X线计算机 

分 类 号：R445.3[医药卫生—影像医学与核医学]