Abstract
1 临床资料患者女,49岁.因体格检查发现胰尾及胃窦部占位性病变2周于2013年6月入院.患者自述无腹痛、腹胀、恶心、呕吐、畏寒、发热等不适.体格检查无明显阳性体征.实验室检查:血常规、肝功能均正常,肿瘤标志物AFP、CEA、CA19-9、CA12-5、CA50及CA724均为阴性.胃镜检查:慢性萎缩性胃炎.CT检查:胰尾部见直径约1.8 cm的类卵圆形强化结节影(图1),边界光滑,内部密度均匀,平扫CT值为45 HU,增强后见均匀强化,以门静脉期强化较显著,且与脾脏同步强化,上游胰管未见明显扩张,胰腺体尾部未见萎缩,病灶与脾脏动静脉未见明显粘连. 关键词：副脾;异位胰腺;胰体尾切除术
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