Objective: To discuss the diagnostic value of CT and MRI in ectopic intrapancreatic accessory spleen ( IPAS). 前言:目的:探讨胰腺异位副脾(IPAS)的CT和MRI诊断价值。
Given that an accessory spleen does not usually require treatment, accurate preoperative diagnosis will obviate surgery. 副脾通常不需要治疗,因此,准确的术前诊断以避免外科手术。
In all intrapancreatic accessory spleens, the echogenicity was homogeneous and was identical to that of the main spleen. 所有胰腺内副脾回声均匀、与主脾的回声一致。
In particular, when the accessory spleen is located in the pancreas, it may mimic a well-enhancing solid pancreatic tumor. 特别是副脾位于胰腺内,造成胰腺内实性肿瘤的假象。
In 6.7% cadavers, the accessory spleen appeared in the splenic hilus. 副脾在脾门处的出现率为6.7%。
ResultsAmong the102 cases, 94 cases were with adrenal tumors, 3 with adrenal cyst, 2 with adrenal hyperplasia, 2 with renal tumor and with accessory spleen. 结果102例患者中,术后病理证实94例为肾上腺肿瘤,3例为肾上腺囊肿,2例为肾上腺皮质增生,2例为肾上极肿瘤,1例为副脾。
At operation an accessory spleen was found in 3 cases and it was excised. 3例术中发现副脾并切除。
Lesions were misdiagnosed as extrahepatic lesions such as adrenal tumors, gastric leiomyoma, gall bladder cancer and accessory spleen. 9个病灶误诊为肝外病变,如肾上腺肿瘤、胃平滑肌瘤、胆囊癌和副脾。
Accessory spleen was found in one patient ( 7.1%, 1/ 14). 术中发现副脾1例(7.1%,1/14)。
Results All the 9 cases were treated with operation. 4 had total splenectomy, among which case with accessory spleen was reserved, 2 undergone splenic flake transplant; 结果全组脾囊肿患者均行手术治疗,行全脾切除4例,其中保留副脾1例,脾片网膜囊内移植2例;