A solid pancreatic mass: tumour or inflammation?
A solid pancreatic mass: tumour or inflammation?
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DOI：
10.1016/j.diii.2013.03.013
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发表时间：
2013-07-01
影响因子：
5.5
通讯作者：
Meurette, G
中科院分区：
文献类型：
--
作者：
Frampas, E;Morla, O;Meurette, G
胰腺癌的预后较差，早期诊断对于手术治疗至关重要。与经典形式相比，急性或慢性炎症体征的存在将阻碍其检测并延迟诊断。需要了解急性胰腺炎的非典型形式，以便发现需要额外形态学检查以寻找潜在肿瘤的患者。相比之下，假肿瘤形式的炎症（慢性胰腺炎、异位胰腺囊性营养不良、自身免疫性胰腺炎）可能模拟癌症，并占疑似癌症外科手术的 5-10%。面对这些假瘤块，解释依赖于各种鉴别标志和成像技术的进步。
The prognosis for pancreatic cancer is poor, and early diagnosis is essential for surgical management. By comparison with its classic form, the presence of acute or chronic inflammatory signs will hinder its detection and delay its diagnosis. The atypical forms of acute pancreatitis need to be known in order to detect patients who require additional morphological investigations to search for an underlying tumour. In contrast, pseudotumoral forms of inflammation (chronic pancreatitis, cystic dystrophy in heterotopic pancreas, autoimmune pancreatitis) may simulate a cancer, and make up 5-10% of the surgical procedures for suspected cancer. Faced with these pseudotumoral masses, interpretation relies on various differentiating signs and advances in imaging.