胰头部实质性肿块是胰腺癌与局灶性炎症的相同形态。肿瘤标志物不能作为确诊的依据。超声、CT、MRI、经内镜逆行胰胆管造影(ERCP)等检查各具特点,是主要的影像检查手段,术中细胞学及病理学检查是定性诊断最确切的方法。对有胆道、十二指肠梗阻等手术指征的病人可在术中定性;仅有上腹部不适、影像检查发现胰头部肿物的病人,则需由外科医生综合分析影像检查所见进行抉择。 The substantive mass of the head of pancreas is the same form of pancreatic cancer and focal inflammation. Tumor markers can not be used as a basis for diagnosis. Ultrasound, CT, MRI, endoscopic retrograde cholangiopancreatography (ERCP) and other tests have their own characteristics, is the main means of image examination, intraoperative cytology and pathological examination is the most accurate method of qualitative diagnosis. Patients with biliary tract, duodenal obstruction and other surgical indications can be identified intraoperatively; only the upper abdominal discomfort, imaging examination found that patients with pancreatic head mass, the surgeon should be a comprehensive analysis of the imaging examination to see Choice.