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磁共振诊断胰腺癌的价值

The value of MRI in diagnosis of pancreatic carcinoma

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【作者】 陈锦垣; 洪国斌; 许锦文; 周娟彩; 韦增才; 李华杰; 庄丽芳;

【Author】 CHEN Jing-yuan~1,HONG Guo-bin~2,XU Jin-wen~1,ZHOU Juan-cai~1,WEI Zheng-cai~1,LI Hua-jie~1,ZHUANG Li-fang~1 (1 Department of Radiology,Kaiping Central Hospital,Kaiping 529300;2 Department of Radiology,Fifth Affiliated Hospital of SUN Yat-sen University,Zhuhai 519000,China)

【机构】 广东省开平市中心医院放射科; 中山大学附属第五医院放射科;

【摘要】 目的:总结胰腺癌在磁共振(MRI)的表现,探讨MRI诊断胰腺癌的价值。方法:回顾性分析56例胰腺癌患者的MRI资料,与手术及病理结果对照,总结磁共振诊断胰腺癌的经验。结果:本组56例胰腺癌患者31例行手术治疗,术后病理确诊腺癌26例,腺鳞癌5例。25例因淋巴结转移或远处脏器转移而放弃手术治疗,经病理组织活检而确诊。MRI检出53例,诊断符合率为94.6%(53/56)。误诊3例。结论:MRI检查对胰腺癌具有较高的诊断价值,可以为临床诊断和选择治疗方案提供有价值的参考依据。

【Abstract】 Objective:To summarize on the MRI features of pancreatic carcinoma,and to investigate the value of MRI in diagnosis of pancreatic carcinoma.Methods:Data from 56 cases of pancreatic carcinoma were reviewed and compared with findings at surgery and of pathology.Our experiences with diagnosis of pancreatic carcinoma using MRI were then summarized.Results:Among 56 cases of pancreatic carcinoma.31 were treated by operation.Postoperative pathology confirmed adenocarcinoma in 26 cases and adenosquamous carcinoma in 5. Twenty-five cases were inoperable due to lymph node involvement or distal metastasis,as confirmed by biopsy. MRI identified 53 cases of pancreatic carcinoma,94.6%(53/56) of which were consistent with pathology. Conclusion:MRI is valuable for diagnosis of pancreatic carcinoma,and may provide favorable evidence for clinical diagnosis and selection of therapy.

【关键词】 胰腺; 癌; 磁共振成像; 诊断;
【Key words】 pancreas; carcinoma; magnetic resonance imaging; diagnosis;
  • 【文献出处】 广州医学院学报 ,Academic Journal of Guangzhou Medical College , 编辑部邮箱 ,2011年01期
  • 【分类号】R735.9
  • 【被引频次】1
  • 【下载频次】2
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