超声检查在胰腺实性假乳头状瘤诊断与分型中的价值

目的 探讨超声检查在胰腺实性假乳头状瘤诊断与分型中的价值.方法 回顾性分析经手术和病理证实的15例胰腺实性假乳头状瘤(其中女性13例、男性2例,年龄15～53岁,平均32.1岁),对病灶大小、位置、声像图特点进行分析和分型.结果 肿瘤平均最大径66 mm (30～160 mm),超声表现为实性或并有囊性的肿块,可分为实块型、实性为主混合型和囊性为主类囊型.所有肿瘤均可见清晰包膜,5例患者6枚肿瘤内部有强回声钙化斑块.结论 胰腺实性假乳头状肿瘤发病以年轻女性为主,声像图表现具有一定的特征,超声检查结合临床特点对其诊断与鉴别诊断具有重要价值.

Value of ultrasonography in diagnosis and typing of solid-pseudopapillary tumor of pancreas

Objective To probe the value of ultrasonography in diagnosis and typing of solid-pseudopapillary tumor of pancreas（SPTP）.Methods A retrospective review was performed in 15 patients（13 female and 2 male patients,aged 15-53 years, mean age at 30.1 years） with pathologically proved SPTP.Tumor size,location,and sonographic features were evaluated.Results Mean largest diameter of these tumors was about 66 mm（ranging 30-160 mm）.The sonographic characteristics of SPTP were solid mass or with cystic component inside,encapsulated with well-defined margins.Calcification was noted in 6 tumors of 5 patients. According to the sonographic features of SPTP,the masses could be classified into three types as solid tumors,mainly solid,and mainly cystic tumor.Conclusions The characteristic of sonogram combined with clinical features may be of great value in diagnosis and differential diagnosis of SPTP.