Mechó Sandra, Quiroga Sergi, Cuéllar Hug, Sebastià Carmen
Department of Radiology, Hospital Universitari Vall d'Hebron, Passeig Vall d'Hebron, Barcelona, Spain.
Abdom Imaging. 2009 May-Jun;34(3):385-9. doi: 10.1007/s00261-008-9391-9.
Pancreatic metastasis of renal cell carcinoma is more prevalent than the rates reported in the literature before the development of multidetector computed tomography (MDCT). These lesions are usually asymptomatic and used to be an incidental finding detected on radiological follow-up of these patients. If they are not associated with extrapancreatic involvement, they show an excellent response to surgical treatment. Thus, radiologists should be aware of the radiological characteristics of this condition to allow detection at an early stage. In this article we review the MDCT features of four cases of pancreatic metastasis of renal cell carcinoma to familiarize radiologists with this entity and the most suitable study method for its detection. The main imaging findings observed were hypervascular lesions in arterial phase of biphasic studies, hence the detection of these lesions is performed better during the early phase scanning.
肾细胞癌的胰腺转移比多排螺旋计算机断层扫描(MDCT)出现之前文献报道的发生率更高。这些病变通常无症状,过去常在对这些患者进行的影像学随访中偶然发现。如果它们与胰腺外受累无关,对手术治疗的反应良好。因此,放射科医生应了解这种情况的影像学特征以便早期发现。在本文中,我们回顾了4例肾细胞癌胰腺转移的MDCT特征,以使放射科医生熟悉这种疾病以及检测它的最合适研究方法。观察到的主要影像学表现是双期扫描动脉期的高血运病变,因此在早期扫描期间能更好地检测到这些病变。