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胰外病变在胰腺癌与胰腺炎鉴别中的价值 被引量:5

Value of extra-pancreatic lesions in the differential diagnosis of pancreatic cancer and pancreatitis
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摘要 目的从胰外病变角度探讨胰腺炎、胰腺癌鉴别要点。方法回顾分析近5年来确诊的胰腺炎、胰腺癌患者的胰外病变CT/MRI资料。结果从肝脏、大血管、胰周三方面,分别阐述了胰腺炎、胰腺癌胰外并发症的影像特点。结论胰腺炎、胰腺癌胰外病变影像的相似度高,合理治疗后定期随访,多数能确诊。 Objective To explore and investigate the diagnostic key point between pancreatic cancer and panereatitis of the extra-pancreatic lesions from the viewpoint. Methods The CT and MRI data of the extrapancreatic lesions in the diagnosed pancreatic cancer and pancreatitis were retrospectively analyzed in recent 5 years. Results The imaging features of the extra-pancreatic complication of the pancreatitis and pancreatic carinoma were set forth from three aspects of liver, great vessels and peri-pancreas. Conclusion lmagings of the extra-pancreatic lesions in two diseases are very similar in CT/MRI. After rational treatment and regular follow-up, the correct diagnosis can be done in most cases.
出处 《肝胆胰外科杂志》 CAS 2010年第1期3-5,共3页 Journal of Hepatopancreatobiliary Surgery
基金 上海市重点学科建设项目(S30203)
关键词 胰腺炎 胰腺肿瘤 鉴别诊断 误诊 胰外病变 pancreatitis pancreatic neoplasms differential diagnosis misdiagnosis extra-pancreatic lesions
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  • 1Hall Pde L, Wilentz RE, de Klerk W. Premalignant conditions of the pancreas. Pathology 2002; 34:504-517.
  • 2Banerjee SK, Zoubine MN, Mullick M. Tumor angiogenesis in chronic pancreatitis and pancreatic adenocarcinoma: impact of K-ras mutations. Pancreas 2000; 20:248-255.
  • 3Machado MC, Montagnini AL, Machado MA. Cystic neoplasm diagnosed as pancreatic pseudocyst: report of 5 cases and review of the literature. Rev Hosp Clin Fac Med Sao Paulo 1994; 49:246-249.
  • 4Civello IM, Frontera D, Viola G. Cystic neoplasm mistaken for pancreatic pseudocyst. Hepatogastroenterology 1996; 43:967-970.
  • 5Orv Hetil, Zalatnai A. Pathologic diagnosis of pancreatic cancer-facts, pitfalls, challenges. Orv Hetil 2001; 142:1885-1890.
  • 6Nieman JL, Holmes FF. Accuracy of diagnosis of pancreatic cancer decreases with increasing age. J Am Geriatr Soc 1989;37:97-100.
  • 7Alanen KA, Joensuu H. Long-term survival after pancreatic adenocarcinoma-often a misdiagnosis? Br J Cancer 1993; 68:1004-1005.
  • 8Bradley EL, Clements JL, Gonzalez AC. The natural history of pancreatic pseudocysts: a unified concept of management.Am J Surg 1979; 137:135-141.
  • 9Pinto MM, Kaye AD. Fine needle aspiration of cystic liver lesions. Cytologic examination and carcinoembryonic antigen assay of cyst contents. Acta Cytol 1989; 33:852-856.
  • 10Safi F, Schlosser W, Falkenreck S. Prognostic value of CA 19-9 serum course in pancreatic cancer. Hepatogastroenterology 1998; 45:253-259.

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  • 1Ting-Kai Leung,Chi-Ming Lee,Fong-Chieh Wang,Hsin-Chi Chen,Hung-Jung Wang.Difficulty with diagnosis of malignant pancreatic neoplasms coexisting with chronic pancreatitis[J].World Journal of Gastroenterology,2005,11(32):5075-5078. 被引量:15
  • 2胰腺癌临床实践指南(中国版)[M].1版,2010,www.nccn.org.
  • 3金涵弢 王俭 钱懿.腹胰发育相关胰腺、十二指肠变异.肝胆胰外科杂志,2011,23(1):7-10.
  • 4Carbognin G,Girardi V,Biasiutti C,et al.Autoimmune pan-creatitis:imaging findings on contrast-enhanced MR,MRCP and dynamic secretin-enhanced MRCP[J].Radiol Med,2009,114(4):1214-1231.
  • 5Eyal AS,Karusseit VO.Tuberculosis of the pancreas mimick-ing carcinoma[J].Int J Infect Dis,2008,12(1):108-110.
  • 6SU T,JIA NY,WANG J,et al.CT and MRI presentations of pancrititis maldiagnosed as pancreatic carcinoma[J].Pan-crease,2010,39(2):262-265.
  • 7Papavramidis T,Papavramidis S.Solid pseudopapillary tumors of the pancreas:review of 718 patients reported in English literature[J].J Am Coll Surg,2005,200(3):965-972.
  • 8Takada A,Itoh S,Suzuki K,et al.Branch duct-type intra-ductal papillary mucinous tumor:diagnostic value of multipla-nar reformatted images in multislice CT[J].Eur Radiol,2005,15(6):1888-1897.
  • 9Kim HC,Iee JM,Rison K,et al.Gastrointestinal stromal tu-mors of the duodenum:CT and barium study findings[J].AJR,2004,183(8):415-419.
  • 10腹部CT扫描规范指南(试用稿)[J].中华放射学杂志,2007,41(9):999-1004. 被引量:30

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