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富血管性胰腺“病变”:一种基于模式的鉴别方法。

Hypervascular pancreatic "lesions": a pattern-based approach to differentiation.

机构信息

Department of Radiology, Michigan Medicine, 1500 E. Medical Center Drive B1-D530H, Ann Arbor, MI, 48109, USA.

出版信息

Abdom Radiol (NY). 2018 Apr;43(4):1013-1028. doi: 10.1007/s00261-017-1363-5.

DOI:10.1007/s00261-017-1363-5
PMID:29086008
Abstract

Hypervascular pancreatic lesions/masses can arise due to a variety of causes, both benign and malignant, leading to a wide differential diagnosis. Accurate differentiation of these lesions into appropriate diagnoses can be challenging; however, this is important for directing clinical management. This manuscript provides a multimodality imaging review of hypervascular pancreatic lesion, with emphasis on an imaging-based algorithmic approach for differentiation of these lesions, which may serve as a decision support tool when encountering these uncommon lesions. Additionally, we stratify these lesions into three categories based on malignant potential, to help guide clinical management.

摘要

胰腺富血供性病变/肿块可由多种原因引起,包括良性和恶性病变,导致广泛的鉴别诊断。准确鉴别这些病变并做出恰当诊断具有一定挑战性;然而,这对于指导临床管理非常重要。本文对胰腺富血供性病变的多种影像学表现进行综述,重点介绍一种基于影像学的鉴别诊断方法,为遇到这些不常见病变时提供决策支持。此外,我们根据恶性潜能将这些病变分为三类,以帮助指导临床管理。

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