Department of Diagnostic Imaging, Moffitt Cancer Center, Tampa, Florida, USA.
Department of Oncologic Science, University of South Florida, Tampa, Florida, USA.
Monogr Clin Cytol. 2020;26:21-33. doi: 10.1159/000455731. Epub 2020 Sep 28.
Imaging plays a key role in the diagnosis and staging of pancreatic tumors. Imaging modalities utilized for the evaluation of pancreatic tumors include: transabdominal and endoscopic ultrasound, computed tomography, and magnetic resonance imaging. Each of these modalities has different strengths and weaknesses which must be considered in the setting of evaluating a pancreatic tumor. Imaging can determine if a pancreatic tumor is cystic or solid and help develop a differential diagnosis based on the lesion's imaging features. If a malignant pancreatic tumor is diagnosed, imaging can assist with initial staging by determining the size and local extent of the tumor as well as evaluating for nodal and metastatic disease. Here we review the different imaging modalities utilized to evaluate pancreatic masses, describe the key imaging features of the most significant entities in the differential diagnosis, and describe the diagnostic imaging approach.
影像学在胰腺肿瘤的诊断和分期中起着关键作用。用于评估胰腺肿瘤的影像学方式包括:经腹和内镜超声、计算机断层扫描和磁共振成像。这些方式各有优缺点,在评估胰腺肿瘤时必须考虑到这些因素。影像学可以确定胰腺肿瘤是囊性还是实性,并根据病变的影像学特征帮助制定鉴别诊断。如果诊断出恶性胰腺肿瘤,影像学可以通过确定肿瘤的大小和局部范围以及评估淋巴结和转移疾病来协助初始分期。在这里,我们回顾了用于评估胰腺肿块的不同影像学方式,描述了鉴别诊断中最重要实体的关键影像学特征,并描述了诊断影像学方法。