Yeh Randy, Steinman Jonathan, Luk Lyndon, Kluger Michael D, Hecht Elizabeth M
New York Presbyterian Hospital/Columbia University Medical Center, Department of Radiology, 630 W. 168th Street, PB-1-301, New York, NY 10032, United States.
New York Presbyterian Hospital/Columbia University Medical Center, Department of Surgery, 161 Fort Washington Avenue, HIP 8, New York, NY 10032, United States.
Clin Imaging. 2017 Mar-Apr;42:203-217. doi: 10.1016/j.clinimag.2016.10.002. Epub 2016 Oct 7.
Pancreatic cancer is the fourth leading cause of cancer-related death. Early detection is challenging because symptoms are relatively nonspecific. Imaging is vital in detecting and staging pancreatic tumors, and management depends on imaging findings. Radiologists should be aware of current surgical treatments for pancreatic neoplasms, as surgeons rely on interpretation of cross-sectional imaging for presurgical planning. Understanding postsurgical anatomy is critical to assess for complications and recurrence. This review will emphasize the role of the radiologist in planning for surgery and will review postoperative changes based on surgical intervention and common complications.
胰腺癌是癌症相关死亡的第四大主要原因。早期检测具有挑战性,因为症状相对不具特异性。影像学在检测胰腺肿瘤及其分期方面至关重要,治疗方案取决于影像学检查结果。放射科医生应了解目前针对胰腺肿瘤的手术治疗方法,因为外科医生在术前规划时依赖横断面成像的解读。了解术后解剖结构对于评估并发症和复发情况至关重要。本综述将强调放射科医生在手术规划中的作用,并根据手术干预和常见并发症回顾术后变化。