Columbia University Medical Center, 622 W. 168th Street, PB 1-301, New York, NY, 10032, USA.
Johns Hopkins University School of Medicine, 601 N. Caroline Street, Baltimore, MD, USA.
Abdom Radiol (NY). 2018 Feb;43(2):285-300. doi: 10.1007/s00261-017-1342-x.
In this review, we will focus on rare pancreatic tumors. Most of these tumors do not have distinct characteristic appearances so the key to diagnosis requires a combination of imaging appearance, laboratory data, patient demographics, and associated medical syndromes in order to narrow the differential diagnosis. Nonetheless, imaging plays a vital role in narrowing the differential and guiding management. While there are many variant pathologic entities that cannot be encompassed by a single review, we aim to illustrate the imaging appearance of less common pancreatic tumors highlighting key distinctive diagnostic characteristics and discuss the implications for management. While there is overlap in the imaging appearances of many of these entities, for educational purposes, lesions will be categorized into solid (hypoenhancing and hyperenhancing), cystic lesions, mesenchymal neoplasms, and neoplasms seen in younger patients (< 40 years).
在这篇综述中,我们将重点介绍罕见的胰腺肿瘤。这些肿瘤中的大多数没有明显的特征性表现,因此诊断的关键需要结合影像学表现、实验室数据、患者人口统计学特征以及相关的医学综合征,以便缩小鉴别诊断的范围。尽管如此,影像学在缩小鉴别诊断范围和指导治疗方面发挥着至关重要的作用。虽然有许多变体病理实体无法用单一的综述涵盖,但我们旨在说明不常见的胰腺肿瘤的影像学表现,突出关键的独特诊断特征,并讨论对管理的影响。虽然这些实体中的许多实体在影像学表现上存在重叠,但为了教育目的,病变将分为实性(低增强和高增强)、囊性病变、间叶性肿瘤和年轻患者(<40 岁)中见到的肿瘤。