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[罕见胰腺肿瘤及肿瘤样病变的影像学综述]

[Pictorial Review of Rare Pancreatic Tumors and Tumor-Like Lesions].

作者信息

Lee Seung Jae, Shin Sang Soo, Heo Suk Hee, Jeong Yong Yeon

出版信息

Taehan Yongsang Uihakhoe Chi. 2020 Sep;81(5):1134-1150. doi: 10.3348/jksr.2020.0022. Epub 2020 Sep 28.

Abstract

Various types of tumors and tumor-like lesions may affect the pancreas. Among them, pancreatic ductal adenocarcinoma is the most common and is generally referred to as "pancreatic cancer." Recently, the detection rates of rare pancreatic tumors and tumor-like lesions have increased owing to technological advancements and increased frequency of imaging tests. Considering that rare pancreatic tumors and tumor-like lesions differ from pancreatic ductal adenocarcinoma in terms of the treatment plan and prognosis, the differential diagnosis of these diseases is clinically relevant. Various imaging tests play an important role in the differential diagnoses of rare tumors, such as acinar cell carcinoma and schwannoma, tumor-like lesions, such as autoimmune pancreatitis and inflammatory pseudotumor, and pancreatic ductal adenocarcinoma, but accurately distinguishing these diseases solely based on imaging findings is difficult. The aim of this pictorial review was to present the imaging findings of rare pancreatic tumors and tumor-like lesions and discuss important points for the differential diagnosis.

摘要

多种类型的肿瘤及肿瘤样病变可累及胰腺。其中,胰腺导管腺癌最为常见,通常被称为“胰腺癌”。近年来,由于技术进步以及影像学检查频率增加,罕见胰腺肿瘤及肿瘤样病变的检出率有所上升。鉴于罕见胰腺肿瘤及肿瘤样病变在治疗方案和预后方面与胰腺导管腺癌不同,这些疾病的鉴别诊断具有临床意义。各种影像学检查在罕见肿瘤(如腺泡细胞癌和神经鞘瘤)、肿瘤样病变(如自身免疫性胰腺炎和炎性假瘤)以及胰腺导管腺癌的鉴别诊断中发挥着重要作用,但仅基于影像学表现准确区分这些疾病具有一定难度。本图谱综述的目的是展示罕见胰腺肿瘤及肿瘤样病变的影像学表现,并探讨鉴别诊断的要点。

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