Department of Radiology, Montefiore Medical Center, Bronx, NY.
Department of Surgery, Westchester Medical Center, Valhalla, NY.
Semin Ultrasound CT MR. 2020 Apr;41(2):139-151. doi: 10.1053/j.sult.2019.12.003. Epub 2019 Dec 7.
Pancreatic cancer is an aggressive disease with rising incidence and high mortality despite advances in imaging and therapeutic options. Surgical resection is currently the only curative treatment, with expanding roles for adjuvant and neoadjuvant chemoradiation. Accurate detection, staging, and post-treatment monitoring of pancreatic cancer are critical to improving survival and imaging plays a central role in the multidisciplinary approach to this disease. This article will provide a broad overview of the imaging and management of pancreatic cancer with a focus on diagnosis and staging, operative and nonoperative treatments, and post-therapeutic appearances after surgery and chemoradiation therapy.
胰腺癌是一种侵袭性疾病，尽管影像学和治疗选择有所进步，但发病率和死亡率仍在上升。手术切除目前是唯一的治愈性治疗方法，辅助和新辅助放化疗的作用不断扩大。准确检测、分期和治疗后监测胰腺癌对于提高生存率至关重要，影像学在这种疾病的多学科治疗中发挥着核心作用。本文将广泛概述胰腺癌的影像学诊断和管理，重点介绍诊断和分期、手术和非手术治疗以及手术和放化疗后的治疗后表现。
