Department of Radiology, Chosun University Hospital, Chosun University College of Medicine, Gwangju 61453, Republic of Korea.
Department of Hepato-Biliary-Pancreas Surgery, Chonnam National University Hwasun Hospital, Chonnam National University Medical School, Gwangju 61469, Republic of Korea.
Medicina (Kaunas). 2024 Oct 28;60(11):1766. doi: 10.3390/medicina60111766.
Rare pancreatic tumors and non-neoplastic tumor-like lesions present a diagnostic challenge due to their uncommon occurrence and overlapping imaging characteristics with more prevalent pancreatic neoplasms. Advances in imaging technologies and diagnostic criteria have contributed to increased detection of these rare entities in clinical practice. This pictorial review focuses on the radiologic-pathologic correlation of rare pancreatic tumors, including colloid carcinoma, acinar cell carcinoma, pancreatoblastoma, primary pancreatic lymphoma, and non-neoplastic tumor-like lesions such as hamartomas and inflammatory pseudotumors. Detailed imaging features, such as signal intensities on MRI and enhancement patterns on CT, are correlated with pathological findings to assist in the differential diagnosis. Familiarity with these characteristics is crucial for radiologists to ensure accurate diagnosis and guide appropriate treatment strategies, as management and prognosis significantly differ from common pancreatic neoplasms.
罕见的胰腺肿瘤和非肿瘤性肿瘤样病变由于其罕见的发生和与更常见的胰腺肿瘤重叠的影像学特征,给诊断带来了挑战。影像学技术和诊断标准的进步有助于提高这些罕见实体在临床实践中的检出率。本影像学综述重点介绍了罕见胰腺肿瘤的放射病理学相关性,包括胶样癌、腺泡细胞癌、胰母细胞瘤、原发性胰腺淋巴瘤和非肿瘤性肿瘤样病变,如错构瘤和炎性假瘤。详细的影像学特征,如 MRI 上的信号强度和 CT 上的增强模式,与病理学发现相关联,以辅助鉴别诊断。熟悉这些特征对于放射科医生来说至关重要,以确保准确的诊断,并指导适当的治疗策略,因为它们的管理和预后与常见的胰腺肿瘤显著不同。
Medicina (Kaunas). 2024-10-28
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