Intrapancreatic accessory spleen: Possibilities of computed tomography in differentiation from nonfunctioning pancreatic neuroendocrine tumor

被引：10

作者：

机构：

[1] Department of Radiology, 601 N Caroline Street, Baltimore, 21287, MD

[2] Division of Biostatistics and Bioinformatics, Sidney Kimmel Cancer Center

[3] Department of Pathology, Sol Goldman Pancreatic Center Research Center, Johns Hopkins Hospital, Baltimore, MD

来源：

Coquia, Stephanie F. | 1600年 / Lippincott Williams and Wilkins卷 / 38期

关键词：

Intrapancreatic accessory spleen; Pancreatic mass; Pancreatic neuroendocrine tumor;

D O I：

10.1097/RCT.0000000000000127

中图分类号：

学科分类号：

摘要：

Objective: The aim of this study was to evaluate the ability of computed tomography (CT) in differentiating between intrapancreatic accessory spleen (IPAS) from pancreatic neuroendocrine tumor (PanNET).; Methods: Eight IPASs and 12 PanNETs in the pancreatic tail were retrospectively evaluated by 2 radiologists. Readers assigned a diagnosis to each examination and evaluated for the presence or absence of 9 CT findings that may aid in the diagnosis.; Results: Reader 1 had a sensitivity of 0.83 and a specificity of 1; reader 2 had a sensitivity of 0.78 and a specificity of 0.86. Three of the 9 CT findings were found to be statistically significant in IPASs: the lesion present along the pancreatic dorsal surface, the lesion demonstrating the same enhancement as the spleen on venous phase, and heterogeneous enhancement during arterial phase.; Conclusions: CT can be used to differentiate between IPAS and PanNET with good specificity and sensitivity. The IPAS mirrors the spleen's enhancement and is usually located along the dorsal surface of the pancreas. © 2014 Lippincott Williams & Wilkins.

引用

页码：874 / 878

页数：4

共 16 条

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