胰腺海绵状血管瘤一例

Chinese Journal of Pancreatology(2014)

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Abstract
患者男,60岁.因“上腹痛半个月,加重1周”入院.查体:皮肤巩膜无黄染;腹平软,未及明显包块及压痛,余无异常.外院行上腹部CT检查提示“胰头占位病变”,我院复查上腹部CT示十二指肠降段及水平段区软组织密度影,直径约7.6 cm ×6.6 cm,平扫CT值约51 HU,边缘模糊,可见渗出征象,增强扫描可见轻度强化(图1a).上腹部MRI示腹膜后胰头与十二指肠之间见稍长T1稍长T2信号为主混杂信号病灶,最大径约7.2 cm ×7.0 cm,增强扫描呈轻度强化,诊断为腹膜后占位,考虑间叶组织来源肿瘤.实验室检查:血常规、血凝常规、肝功、肿瘤标志物(AFP、CEA、CA19-9)均在正常范围内.择日行剖腹探查术.
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