目的 对8例胰腺结核误诊为胰腺癌的原因进行分析,增加对这两种疾病的认识。方法 8例患者均做了CT平扫和增强扫描。结果 8例患者均经手术病理证实为度腺结核,累及胰头部。结论 胰腺结核与胰腺癌虽然临床表现及CT表现极为相似,但胰腺结核多为全身结核的一部分。CT可见低密度病灶,边缘规则或不规则,多见肿块内多发斑点状钙化,增强扫描见环状或蜂窝状强化。 Objective To analyze the causes of misdiagnosis of pancreatic cancer in 8 cases of pancreatic tuberculosis and to increase the understanding of these two diseases. Methods All 8 patients underwent CT scan and enhanced scan. Results All 8 patients were proved to be adenoma tuberculosis by surgery and pathology, involving the head of the pancreas. Conclusion Although the clinical manifestations and CT findings of pancreatic and pancreatic cancer are very similar, the majority of pancreatic tuberculosis is part of systemic tuberculosis. CT shows low-density lesions, the edge of the rules or irregular, more common tumor mass speckled calcification, enhancement scan see ring or honeycomb-like enhancement.