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CT and MR imaging features of mixed neuroendocrine-non-neuroendocrine neoplasm of the pancreas compared with pancreatic ductal adenocarcinoma and neuroendocrine tumor.

作者信息

Zhong Yanqi, Zhang Heng, Wang Xian, Sun Zongqiong, Ge Yuxi, Dou Weiqiang, Hu Shudong

机构信息

Department of Radiology, Affiliated Hospital, Jiangnan University, No. 1000, Hefeng Road, Wuxi, 214122, Jiangsu, China.

Department of Radiology, Affiliated Renmin Hospital, Jiangsu University, No. 8, Dianli Road, Zhenjiang, 212002, Jiangsu, China.

出版信息

Insights Imaging. 2023 Jan 24;14(1):15. doi: 10.1186/s13244-023-01366-0.


DOI:10.1186/s13244-023-01366-0
PMID:36690735
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9871080/
Abstract

OBJECTIVE: This study aimed to assess the computed tomography (CT) and magnetic resonance imaging (MRI) features of pancreatic mixed neuroendocrine-non-neuroendocrine neoplasm (MiNEN) and compare them with those of pancreatic ductal adenocarcinoma (PDAC) and neuroendocrine tumor (NET). METHODS: Twelve patients with pancreatic MiNEN, 24 patients with PDAC, and 24 patients with NET, who underwent both contrast-enhanced CT and MRI, were included. Clinical data and the key imaging features were retrospectively evaluated by two independent readers and compared between MiNEN and PDAC or NET. Univariate and multivariable logistic regression analyses were performed to obtain predictors for pancreatic MiNEN. RESULTS: Patients with pancreatic MiNEN more frequently presented with large size and heterogeneous and cystic components compared with PDAC (p < 0.031) and ill-defined irregular margins, progressive enhancement, and adjacent organ involvement compared with NET (p < 0.036). However, vascular invasion was less commonly seen in MiNEN than PDAC (p = 0.010). Moderate enhancement was observed more frequently in MiNEN than in PDAC or NET (p < 0.001). Multivariate logistic analyses demonstrated that moderate enhancement and ill-defined irregular margin were the most valuable features for the prediction of pancreatic MiNEN (p ≤ 0.044). The combination of the two features resulted in a specificity of 93.8%, sensitivity of 83.3%, and accuracy of 91.7%. CONCLUSIONS: We have mainly described the radiological findings of pancreatic MiNEN with ill-defined irregular margin and moderate enhancement compared with PDAC and NET. The combination of imaging features could improve diagnostic efficiency and help in the selection of the correct treatment method.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b36b/9871080/c40feb113b18/13244_2023_1366_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b36b/9871080/00e7224d308b/13244_2023_1366_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b36b/9871080/803f08acd9de/13244_2023_1366_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b36b/9871080/05aac7427656/13244_2023_1366_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b36b/9871080/c40feb113b18/13244_2023_1366_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b36b/9871080/00e7224d308b/13244_2023_1366_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b36b/9871080/803f08acd9de/13244_2023_1366_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b36b/9871080/05aac7427656/13244_2023_1366_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b36b/9871080/c40feb113b18/13244_2023_1366_Fig4_HTML.jpg

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[1]
CT and MR imaging features of mixed neuroendocrine-non-neuroendocrine neoplasm of the pancreas compared with pancreatic ductal adenocarcinoma and neuroendocrine tumor.

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引用本文的文献

[1]
Diagnostic dilemma: a collision of pancreatic neuroendocrine tumor G3 and adenocarcinoma with extensive fibrosis.

Clin J Gastroenterol. 2025-2

本文引用的文献

[1]
Mixed Neuroendocrine-Non-Neuroendocrine Neoplasms of the Pancreas.

Surg Pathol Clin. 2022-9

[2]
Secondary Nasopharyngeal Mixed Adenoneuroendocrine Carcinoma After Radical Radiotherapy for Nasopharyngeal Carcinoma: A Rare Case and Literature Review.

Onco Targets Ther. 2021-2-25

[3]
Presentation and outcome of mixed neuroendocrine non-neuroendocrine neoplasms of the pancreas.

Pancreatology. 2021-1

[4]
The cytologic and immunohistochemical findings of pancreatic mixed acinar-endocrine carcinoma.

Diagn Cytopathol. 2021-2

[5]
Comprehensive genetic features of gastric mixed adenoneuroendocrine carcinomas and pure neuroendocrine carcinomas.

J Pathol. 2021-1

[6]
Multi-institutional development and validation of a nomogram to predict recurrence after curative resection of gastric neuroendocrine/mixed adenoneuroendocrine carcinoma.

Gastric Cancer. 2021-3

[7]
Mixed Neuroendocrine Non-Neuroendocrine Neoplasms: A Systematic Review of a Controversial and Underestimated Diagnosis.

J Clin Med. 2020-1-19

[8]
Oncologic outcome of mixed adenoneuroendocrine carcinoma (MANEC): A single center case series.

Eur J Surg Oncol. 2019-8-2

[9]
The 2019 WHO classification of tumours of the digestive system.

Histopathology. 2020-1

[10]
Retrospective analysis of seven cases of pancreatic mixed adenoneuroendocrine carcinoma from a high-volume center and review of the literature.

BMC Surg. 2019-7-11

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