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本文引用的文献

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Interobserver agreement for detection of malignant features of intraductal papillary mucinous neoplasms of the pancreas on MDCT.多层螺旋CT检测胰腺导管内乳头状黏液性肿瘤恶性特征的观察者间一致性
AJR Am J Roentgenol. 2014 Nov;203(5):973-9. doi: 10.2214/AJR.13.11490.
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Imaging patterns of intraductal papillary mucinous neoplasms of the pancreas: an illustrated discussion of the International Consensus Guidelines for the Management of IPMN.胰腺导管内乳头状黏液性肿瘤的影像学表现：国际胰腺导管内乳头状黏液性肿瘤管理共识指南图文解析
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Moving beyond morphology: new insights into the characterization and management of cystic pancreatic lesions.超越形态学：对囊性胰腺病变的特征和管理的新见解。
Radiology. 2014 Aug;272(2):345-63. doi: 10.1148/radiol.14131126.
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Incidental pancreatic cysts: natural history and diagnostic accuracy of a limited serial pancreatic cyst MRI protocol.偶然发现的胰腺囊肿：有限序列胰腺囊肿MRI方案的自然病史和诊断准确性
Eur Radiol. 2014 May;24(5):1020-9. doi: 10.1007/s00330-014-3112-2. Epub 2014 Feb 26.
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Are the Sendai and Fukuoka consensus guidelines for cystic mucinous neoplasms of the pancreas useful in the initial triage of all suspected pancreatic cystic neoplasms? A single-institution experience with 317 surgically-treated patients.《仙台和福冈关于胰腺黏液性囊性肿瘤的共识指南对所有疑似胰腺囊性肿瘤的初始分诊是否有用？一项针对317例接受手术治疗患者的单机构经验》
Ann Surg Oncol. 2014 Jun;21(6):1919-26. doi: 10.1245/s10434-014-3501-4. Epub 2014 Feb 7.
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Branch duct intraductal papillary mucinous neoplasms: does cyst size change the tip of the scale? A critical analysis of the revised international consensus guidelines in a large single-institutional series.分支胰管内导管乳头状黏液性肿瘤：囊肿大小是否改变了病变程度？在大型单机构系列中对修订后的国际共识指南进行的批判性分析。
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International consensus guidelines 2012 for the management of IPMN and MCN of the pancreas.国际共识指南 2012 年：胰腺 IPMN 和 MCN 的管理。
Pancreatology. 2012 May-Jun;12(3):183-97. doi: 10.1016/j.pan.2012.04.004. Epub 2012 Apr 16.
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Invasive carcinoma arising in intraductal papillary mucinous neoplasms of the pancreas: a matched control study with conventional pancreatic ductal adenocarcinoma.胰腺导管内乳头状黏液性肿瘤中发生的浸润性癌：与常规胰腺导管腺癌的配对对照研究。
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Small (≤ 20 mm) pancreatic adenocarcinomas: analysis of enhancement patterns and secondary signs with multiphasic multidetector CT.小（≤ 20mm）胰腺腺癌：多期多层 CT 增强模式和次要征象分析。
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多排CT对导管内乳头状黏液性肿瘤起源的管状和胶样胰腺腺癌的影像学比较

Imaging comparison of tubular and colloid pancreatic adenocarcinoma arising from intraductal papillary mucinous neoplasm on multidetector CT.

作者信息

Escalon Joanna G, Gerst Scott, Porembka Matthew, Allen Peter J, Do Richard K G

机构信息

Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY 10065; Department of Radiology, Weill Cornell Medicine, New York, NY 10021.

Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY 10065.

出版信息

Clin Imaging. 2016 Nov-Dec;40(6):1195-1199. doi: 10.1016/j.clinimag.2016.08.011. Epub 2016 Aug 16.

DOI:10.1016/j.clinimag.2016.08.011
PMID:27596236
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5159304/
Abstract

PURPOSE

This study aims to compare tubular pancreatic ductal adenocarcinoma (tPDAC) and colloid subtype pancreatic ductal adenocarcinoma (cPDAC) associated with intraductal papillary mucinous neoplasms (IPMNs) on computed tomography.

METHODS

An institutional review board-approved retrospective study included patients with either IPMN tPDAC or cPDAC. Enhancing mural nodules (MN), solid component (SC), main pancreatic duct (MPD) diameter, and abrupt change in MPD caliber were evaluated.

RESULTS

A total of 22 patients with cPDAC and 17 patients with tPDAC showed no significant difference in MPD size. MN and SC were seen in cPDAC/tPDAC in 55%/18% and 9%/53%, respectively. Abrupt change in MPD caliber was seen in cPDAC/tPDAC at 18%/59%.

CONCLUSION

cPDAC and tPDAC differ in the frequency of MN, SC, and changes in MPD caliber.

摘要

目的

本研究旨在通过计算机断层扫描比较与导管内乳头状黏液性肿瘤（IPMN）相关的管状胰腺导管腺癌（tPDAC）和黏液亚型胰腺导管腺癌（cPDAC）。

方法

一项经机构审查委员会批准的回顾性研究纳入了IPMN tPDAC或cPDAC患者。评估强化壁结节（MN）、实性成分（SC）、主胰管（MPD）直径以及MPD管径的突然变化。

结果

22例cPDAC患者和17例tPDAC患者的MPD大小无显著差异。MN和SC分别在55%的cPDAC/18%的tPDAC以及9%的cPDAC/53%的tPDAC中可见。MPD管径突然变化在18%的cPDAC/59%的tPDAC中可见。

结论

cPDAC和tPDAC在MN、SC的发生率以及MPD管径变化方面存在差异。