Balthazar E J
Department Radiology, New York University, Bellevue Medical Center, New York, NY 10016, USA.
Pancreatology. 2005;5(4-5):330-44. doi: 10.1159/000086868. Epub 2005 Jul 5.
The combined occurrence of pancreatic carcinoma with acute or chronic pancreatitis is seldom seen in medical practice, but when present it is a challenging dilemma, plagued by confusing overlapping clinical findings and pitfalls in diagnostic imaging tests. This article reviews the presumptive pathophysiological aspects of this relationship, the perplexing clinical presentations and the advantages and limitations of the noninvasive imaging examinations. The role of state-of-the-art CT imaging in screening patients with acute and chronic pancreatitis is emphasized and the impute of additional more invasive tests in detecting pancreatic tumors in this cohort of patients is reviewed. The habitual use of CT imaging, followed when needed by complementary examinations, can improve on previously reported low detection rates and hopefully decrease the number of exploratory laparatomies and unnecessary major pancreatic surgical resections.
在医学实践中，胰腺癌合并急性或慢性胰腺炎的情况很少见，但一旦出现，就会成为一个具有挑战性的难题，存在令人困惑的重叠临床发现以及诊断成像检查中的陷阱。本文回顾了这种关系的推测性病理生理方面、令人困惑的临床表现以及无创成像检查的优缺点。强调了先进的CT成像在筛查急性和慢性胰腺炎患者中的作用，并回顾了在这组患者中进行更多侵入性检查以检测胰腺肿瘤的意义。习惯性地使用CT成像，并在需要时进行补充检查，可以提高先前报道的低检出率，并有望减少探查性剖腹手术和不必要的胰腺大手术切除的数量。
