Bollen Thomas L, Wessels Frank J
Department of Radiology, St. Antonius Hospital, Nieuwegein, the Netherlands.
Department of Radiology, University Medical Center Utrecht, Utrecht, the Netherlands.
Visc Med. 2018 Jul;34(3):182-190. doi: 10.1159/000489674. Epub 2018 Jun 15.
Pancreatic cystic lesions are being detected with increasing frequency because of increased use and improved quality of cross-sectional imaging techniques. Pancreatic cystic lesions encompass non-neoplastic lesions (such as pancreatitis-related collections) and neoplastic tumors. Common cystic pancreatic neoplasms include serous cystadenomas, mucinous cystic neoplasms, intraductal papillary mucinous neoplasms, and solid pseudopapillary tumors. These cystic pancreatic neoplasms may have typical morphology, but at times show overlapping imaging features on cross-sectional examinations. This article reviews the classical and atypical imaging features of commonly encountered cystic pancreatic neoplasms and presents the limitations of current cross-sectional imaging techniques in accurately classifying pancreatic cystic lesions.
由于横断面成像技术的使用增加和质量提高,胰腺囊性病变的检出频率越来越高。胰腺囊性病变包括非肿瘤性病变(如胰腺炎相关的积液)和肿瘤性肿瘤。常见的胰腺囊性肿瘤包括浆液性囊腺瘤、黏液性囊性肿瘤、导管内乳头状黏液性肿瘤和实性假乳头状肿瘤。这些胰腺囊性肿瘤可能具有典型的形态,但有时在横断面检查中显示出重叠的影像学特征。本文综述了常见胰腺囊性肿瘤的经典和非典型影像学特征,并阐述了当前横断面成像技术在准确分类胰腺囊性病变方面的局限性。