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胰腺囊性肿块的谱系:影像学特征及诊断难点

The spectrum of cystic masses of the pancreas: imaging features and diagnostic difficulties.

作者信息

García Figueiras Roberto, Villalba Martín Carmen, García Figueiras Alvaro, Otero Echart Manuel, Requejo Isidro Inés, Pazos González Gerardo, Rosario Aldo

机构信息

Department of Radiology, Complexo Hospitalario Universitario de Santiago (CHUS), Santiago de Compostela 15706, Spain.

出版信息

Curr Probl Diagn Radiol. 2007 Sep-Oct;36(5):199-212. doi: 10.1067/j.cpradiol.2007.01.002.

Abstract

Cystic masses of the pancreas comprise a diverse group of pathologic entities ranging from pseudocysts to cystic tumors. Although their presentations may be similar, the appropriate treatment and patient management can differ greatly. There is an overlap in radiologic features, but the clinical context and some imaging findings are useful in differentiating among these entities; the differential diagnosis could be considerably reduced and it is generally possible to reach the correct diagnosis. In this article, we review imaging characteristics and radiologic patterns of both common and uncommon cystic masses of the pancreas. An algorithmic approach for the management of cystic pancreatic lesions is proposed.

摘要

胰腺囊性肿块包括从假性囊肿到囊性肿瘤等多种不同的病理实体。尽管它们的表现可能相似,但适当的治疗方法和患者管理却可能有很大差异。它们在放射学特征上存在重叠,但临床背景和一些影像学表现有助于区分这些实体;鉴别诊断范围可大幅缩小,通常也能得出正确诊断。在本文中,我们回顾了胰腺常见和不常见囊性肿块的影像学特征及放射学表现模式。并提出了一种针对胰腺囊性病变的管理算法。

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