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首页> 美国卫生研究院文献>World Journal of Gastroenterology >Value of ultrasound examination in differential diagnosis of pancreatic lymphoma and pancreatic cancer
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Value of ultrasound examination in differential diagnosis of pancreatic lymphoma and pancreatic cancer

机译：超声检查在胰腺淋巴瘤与胰腺癌鉴别诊断中的价值

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AIM: To investigate the value of clinical manifestations and ultrasound examination in the differential diagnosis of pancreatic lymphoma and pancreatic cancer.METHODS: The clinical and ultrasonic characteristics of 12 cases of pancreatic lymphoma and 30 cases of pancreatic cancer were retrospectively analyzed.RESULTS: Statistically significant differences were found in the course of disease, back pain, jaundice, carcino-embryonic antigen (CEA) and CA19-9 increase, palpable abdominal lump, superficial lymph node enlargement, fever and night sweats, lesion size, bile duct expansion, pancreatic duct expansion, vascular involvement, retroperitoneal (below the renal vein level) lymph node enlargement, and intrahepatic metastasis between pancreatic lymphoma and pancreatic cancer. There were no significant differences in age of onset, gender ratio, weight loss, nausea and vomiting, lesion position, the echo of the lesion, and the blood flow of the lesion.CONCLUSION: Pancreatic lymphoma should be considered for patients with long lasting symptoms, superficial lymph node enlargement, palpable abdominal lump, fever and night sweats, relatively large lesions, and retroperitoneal (below the level of the renal vein) lymph node enlargement. A diagnosis of pancreatic cancer should be considered more likely in the patients with relatively short disease course, jaundice, back pain, CEA and CA19-9 increase, relatively small lesions, bile duct expansion, obvious pancreatic duct expansion, peripheral vascular wrapping and involvement, or intrahepatic metastases.
机译：目的：探讨临床表现和超声检查在胰腺淋巴瘤和胰腺癌鉴别诊断中的价值。方法：回顾性分析12例胰腺淋巴瘤和30例胰腺癌的临床和超声特征。结果：具有统计学意义在疾病过程中发现差异，背部疼痛，黄疸，癌胚抗原（CEA）和CA19-9增加，明显的腹部肿块，浅表淋巴结肿大，发烧和盗汗，病变大小，胆管扩张，胰管扩张，血管受累，腹膜后（低于肾静脉水平）淋巴结肿大以及胰腺淋巴瘤和胰腺癌之间的肝内转移。结论：对于症状持续时间较长的患者，应考虑胰腺淋巴瘤的发生年龄，性别比例，体重减轻，恶心和呕吐，病变部位，病变回声和病变血流等方面无显着差异。 ，浅表淋巴结肿大，明显的腹部肿块，发烧和盗汗，相对较大的病变以及腹膜后（肾静脉水平以下）淋巴结肿大。病程相对较短，黄疸，背痛，CEA和CA19-9升高，病变相对较小，胆管扩张，明显的胰管扩张，周围血管包裹和受累的患者应考虑诊断为胰腺癌或肝内转移。

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