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小儿胰腺实性-假乳头状瘤两例 被引量:1

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摘要 患儿女,8岁,发热4d入院。腹平软,无压痛,肝脾肋下未及。CT示胰尾一直径约2.6cm类圆形团块,CT值约40HU,边界清,增强后病灶呈渐进性强化(图1A,1B)。MRI示胰尾部一类圆形团块,大小约2.6cm×2.4cm,在T1WI呈低信号,在T2WI及STIR序列呈高信号,增强扫描病灶呈中度强化(图1C,1D)。术中见胰尾部肿块与胰腺粘连紧密,易出血,大小约3.0cm×2.5cm,切除肿块和胰腺尾部,术程顺利。镜下见肿瘤细胞呈实性及假乳头状排列,部分肿瘤细胞围绕纤细的血管轴心排列,细胞无异型性,灶区偶见核分裂。
出处 《中华医学杂志》 CAS CSCD 北大核心 2010年第5期358-359,共2页 National Medical Journal of China
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