b:[["$","meta","0",{"charSet":"utf-8"}],["$","meta","1",{"name":"viewport","content":"width=device-width, initial-scale=1, maximum-scale=1, viewport-fit=cover"}]] 1d:T53b,# 直播介绍 ![](https://a2.vzan.com/live/11749549/upload/image/png/20250414/a7567971c56d4a5997c96d1dbd75b8a0.png) # 病例介绍 ![](https://a2.vzan.com/live/11749549/upload/image/jpg/20250417/4194e22c44d447de8bc01e1412fced94.jpg)![](https://a2.vzan.com/live/11749549/upload/image/jpg/20250417/3e65c49f957842beae9e08cf05c185d1.jpg)![](https://a2.vzan.com/live/11749549/upload/image/jpg/20250417/4b8d13765f6b44578f0ddf88daf33beb.jpg)![](https://a2.vzan.com/live/11749549/upload/image/jpg/20250417/42d5209fb0164b5c93835920f7cf94f4.jpg) 影像学检查增强CT (2025.4.14)：胰头肿块，低密度实性，直径2.6cm\*1.8cm，胰管狭窄中段伴或不伴远端胰管扩张。肠系膜上静脉侵犯，侵犯程度 ≤180°。肝内病变良性可能大，肝内多发低密度结节，未见确切强化；无可疑转移淋巴结。检查印象：胰头MT可能，接触肠系膜上静脉。肝内多发囊肿可能。 ![](https://a2.vzan.com/live/11749549/upload/image/gif/20250417/1132c07c263845aba52fa0adaa831e60.gif) ![](https://a2.vzan.com/live/11749549/upload/image/gif/20250417/23a7f5a082fe47c3a6aa32783a63a2ad.gif)![](https://a2.vzan.com/live/11749549/upload/image/jpg/20250417/4b9a9b6c8fe2426ba47a079bedd67aee.jpg)![](https://a2.vzan.com/live/11749549/upload/image/jpg/20250417/587763a123164e11bc1172d48b0d94e8.jpg)1e:T58b,

影像学检查

增强CT (2025.4.14)：胰头肿块，低密度实性，直径2.6cm*1.8cm，胰管狭窄中段伴或不伴远端胰管扩张。肠系膜上静脉侵犯，侵犯程度 ≤180°。肝内病变良性可能大，肝内多发低密度结节，未见确切强化；无可疑转移淋巴结。检查印象：胰头MT可能，接触肠系膜上静脉。肝内多发囊肿可能。

胰路晓谈－徐州行