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胰腺尾部副脾1例

付雪林,邓军

Journal of Practical Radiology（2020）

Cited 0|Views19
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Abstract
患者女,58岁,因腹痛5d入院,自测空腹及餐后血糖偏高.体检:腹部平坦,无压痛、反跳痛,未触及包块.实验室检查示糖化血红蛋白(HbA1c)增高,肿瘤标志物均在正常范围. 上腹部CT平扫示:胰腺尾部见一大小约为1.5 cm×1.8 cm×2.0 cm稍高密度结节(图1),边界清晰.2d后行增强扫描,动脉期病灶呈不均匀"花斑样"强化,与脾脏强化方式类似(图2);门静脉期病灶均匀持续强化,强化程度高于同期胰腺实质(图3);平衡期病灶强化程度稍有减低,与脾一致(图4).
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