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題名 | MR and CT Manifestations of Pancreatic Tuberculomas=結核性胰臟炎在電腦斷層及磁振造影的獨特表徵--病例報告 |
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作者姓名(中文) | 石明誠; 陳巧雲; 王建國; 劉金昌; 李金德; 沈柏青; 蔡坤寶; | 書刊名 | 中華放射線醫學雜誌 |
卷期 | 26:1 2001.02[民90.02] |
頁次 | 頁33-38 |
分類號 | 415.542 |
關鍵詞 | 電腦斷層掃描; 磁振造影; 結核性結節; 胰臟炎; CT; MR; Tuberculoma; Pancreatitis; |
語文 | 英文(English) |
中文摘要 | 結核性胰臟炎甚為少見且易被誤診為惡性腫瘤。我們收集三例個案,其中兩例接受磁振造影檢查後發現獨特結核結節表徵。回溯文獻報導,未曾有個案同時接受磁振造影及電腦斷層兩項檢查之記錄。本文應屬首次利用之報告。目前,原發性結核性胰臟炎有漸增的趨勢。遇到不明熱患者又合併疑似胰臟腫瘤病變患者,結核性胰臟炎應列入考慮範疇。若利用磁振造影T1及T2皆低訊號的獨特表徵,我們更可於術前提供正確的診斷及治療方向。 |
英文摘要 | Pancreatic tuberculosis is extremely rare and is frequently misdiagnosed. Herein we report on three cases. Two cases had magnetic resonance (MR) examination and showed the unique appearance of tuberculomas. To our knowledge, these are the first two cases to be reported with both computed tomography (CT) and magnetic resonance (MR) documentation. The incidence of primary pancreatic tuberculosis may be increasing; therefore, it should be considered in the differential diagnosis in patients who present with an atypical pancreatic mass and febrile illness. Unique low signal intensities (SIs) on both T1weighted images (WIs) and T2WIs of tuberculoma and surrounding lymphadenopathy should prompt this diagnosis even though it was primarily an isolated lesion. |
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