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病例资料患者,女,51岁。9个月前无明显诱因出现上腹部隐痛,无发热,无恶心及呕吐。1周前上腹疼痛加重,行超声和CT检查,提示胰腺体尾部囊性肿块,血清肿瘤标记物CEA为2.54 ng/ml和CA19-9 1200 U/ml。影像表现:CT平扫可见胰腺体尾部巨大囊性肿块,大小约129 mm×89 mm,CT值32 HU,密度均匀一致(图1a),增强扫描囊内无强化,可见囊壁较厚,并清晰地显示分隔及乳头状壁结节,囊壁及壁结节可见强化(图1b~1d)。
Case information patients, female, 51 years old. 9 months ago, no obvious incentive for upper abdominal pain, no fever, no nausea and vomiting. 1 week ago abdominal pain aggravated, line ultrasound and CT examination, suggesting that the cystic mass of the tail of the pancreas, serum tumor markers CEA was 2.54 ng / ml and CA19-9 1200 U / ml. Image: CT scan shows a huge cystic mass in the tail of the pancreas with a size of about 129 mm × 89 mm and a CT value of 32 HU. The density is uniform (Figure 1a). There is no enhancement in the enhanced scan capsule. Clearly show the separation and papillary nodules, wall and wall nodules visible enhancement (Figure 1b ~ 1d).