Pancreatic mass due to chronic pancreatitis: Correlation of CT and MR imaging features with pathologic findings

被引:88
作者
Kim, T
Murakami, T
Takamura, M
Hori, M
Takahashi, S
Nakamori, S
Sakon, M
Tanji, Y
Wakasa, K
Nakamura, H
机构
[1] Osaka Univ, Dept Radiol, Sch Med, Osaka 5650871, Japan
[2] Osaka Univ, Dept Surg & Clin Oncol, Sch Med, Osaka 5650871, Japan
[3] Osaka Univ, Dept Surg Oncol, Sch Med, Osaka 5650871, Japan
[4] Osaka City Univ, Dept Pathol, Sch Med, Osaka 5650871, Japan
关键词
D O I
10.2214/ajr.177.2.1770367
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
OBJECTIVE. The purpose of this study was to identify helical CT and MR imaging features of pancreatic masses (focal enlargement) due to chronic pancreatitis and their correlation with pathologic findings. CONCLUSION. When histologic fibrosis is uniformly present through the pancreas in patients with chronic pancreatitis, there is no demarcation of masses due to chronic pancreatitis. When there is a greater degree of histologic fibrosis in the masslike part of the pancreas. the mass is often demarcated from the remaining pancreas, and the enhancement pattern on two-phase helical CT and dynamic gadolinium-enhanced MR imaging mimics that of pancreatic adenocarcinoma.
引用
收藏
页码:367 / 371
页数:5
相关论文
共 12 条
  • [1] BANK S, 1986, AM J GASTROENTEROL, V81, P153
  • [2] Dimagno Eugene P., 1993, P665
  • [3] SMALL PANCREATIC ADENOCARCINOMAS - EFFICACY OF MR-IMAGING WITH FAT-SUPPRESSION AND GADOLINIUM ENHANCEMENT
    GABATA, T
    MATSUI, O
    KADOYA, M
    YOSHIKAWA, J
    MIYAYAMA, S
    TAKASHIMA, T
    NAGAKAWA, T
    KAYAHARA, M
    NONOMURA, A
    [J]. RADIOLOGY, 1994, 193 (03) : 683 - 688
  • [4] Pancreatic carcinoma versus chronic pancreatitis: Dynamic MR imaging
    Johnson, PT
    Outwater, EK
    [J]. RADIOLOGY, 1999, 212 (01) : 213 - 218
  • [5] Local staging of pancreatic cancer: Criteria for unresectability of major vessels as revealed by pancreatic-phase, thin-section helical CT
    Lu, DSK
    Reber, HA
    Krasny, RM
    Kadell, BM
    Sayre, J
    [J]. AMERICAN JOURNAL OF ROENTGENOLOGY, 1997, 168 (06) : 1439 - 1443
  • [6] CHRONIC-PANCREATITIS - REASSESSMENT WITH CURRENT CT
    LUETMER, PH
    STEPHENS, DH
    WARD, EM
    [J]. RADIOLOGY, 1989, 171 (02) : 353 - 357
  • [7] MULLER MF, 1994, RADIOLOGY, V190, P745
  • [8] INFLAMMATORY PANCREATIC MASSES - PROBLEMS IN DIFFERENTIATING FOCAL PANCREATITIS FROM CARCINOMA
    NEFF, CC
    SIMEONE, JF
    WITTENBERG, J
    MUELLER, PR
    FERRUCCI, JT
    [J]. RADIOLOGY, 1984, 150 (01) : 35 - 38
  • [9] Ritchie AC., 1990, BOYDS TXB PATHOLOGY, P1202
  • [10] SARNER M, 1986, EXOCRINE PANCREAS BI, P459