29例青年胰腺恶性肿瘤的CT表现及临床分析

<正>近年来胰腺恶性肿瘤(pancreatic malignant tumor,PMT)在青年人中的发病率有上升趋势,因其早期临床症状不典型而往往容易误诊[1-2]。笔者收集29例经手术及病理证实的青年PMT的CT和临床资料进行回顾性分析,并结合文献,探讨其CT表现和临床特点,以期提高诊断水平。1资料与方法1.1一般资料收集2014年4月—2015年3月浙

CT representation and clinical analysis of 29 cases of youthful pancreatic malignant tumor

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.