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放射影像(五十七) 胰臟漿液性囊腺瘤的影像學表現

摘要


胰臟漿液性囊腺瘤(serous cystadenoma of the pancreas)是囊狀胰臟腫瘤常見的鑑別診斷。腫瘤多發生於中老年女性,通常都沒有症狀,多是因為意外發現而接受進一步的檢查。影像學檢查能提供鑑別診斷與解剖構造的評估。漿液性腺瘤表現為位於胰臟頭部的囊狀病灶,大部分的腺瘤是由小囊泡構成多囊狀(polycystic, 70%)或蜂巢狀(honeycomb, 20%),少部分是由較大的囊泡構成的寡囊性腺瘤(oligocystic, <10%)。常見的鑑別診斷包含黏液性囊腺瘤(mucinous cystadenoma of pancreas),固狀偽乳頭狀腫瘤(solid pseudopapillary epithelial neoplasm)、胰管內乳頭狀黏液性腫瘤(intraductal papillary mucinous neoplasm)及假性囊腫(pseudocyst)。

參考文獻


Buetow PC, Rao P, Thompson LD. From the Archives of the AFIP. Mucinous cystic neoplasms of the pancreas: radiologic-pathologic correlation. Radiographics 1998;18:433-49."
Kim HJ, Lee DH, Ko YT, et al. CT of serous cystadenoma of the pancreas and mimicking masses. AJR Am J Roentgenol 2008;190:406-12."
Cohen-Scali F, Vilgrain V, Brancatelli G, et al. Discrimination of unilocular macrocystic serous cystadenoma from pancreatic pseudocyst and mucinous cystadenoma with CT: initial observations. Radiology 2003;228:727-33."
Choi JY, Kim MJ, Lee JY, et al. Typical and atypical manifestations of serous cystadenoma of the pancreas: imaging findings with pathologic correlation. AJR American journal of roentgenology 2009;193:136-42."
Buck JL, Hayes WS. From the Archives of the AFIP. Microcystic adenoma of the pancreas. Radiographics : a review publication of the Radiological Society of North America, Inc 1990;10:313-22."

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