Imaging comparison of tubular and colloid pancreatic adenocarcinoma arising from intraductal papillary mucinous neoplasm on multidetector CT

被引：7
作者：
Escalon, Joanna G. [1 ,2 ]
Gerst, Scott [1 ]
Porembka, Matthew [3 ]
Allen, Peter J.
Do, Richard K. G. [1 ]
机构：
[1] Mem Sloan Kettering Canc Ctr, Dept Radiol, New York, NY 10065 USA
[2] Weill Cornell Med, Dept Radiol, New York, NY 10021 USA
[3] Mem Sloan Kettering Canc Ctr, Dept Surg, New York, NY 10065 USA
来源：
CLINICAL IMAGING | 2016年 / 40卷 / 06期
关键词：
IPMN; Ct; Pancreas; Cancer; Pancreatic cyst; INTERNATIONAL-CONSENSUS-GUIDELINES; INVASIVE-CARCINOMA; IN-SITU; FEATURES; MANAGEMENT; CYSTS; MDCT; PATTERNS; LESIONS; IPMN;
D O I：
10.1016/j.clinimag.2016.08.011
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：
Purpose: This study aims to compare tubular pancreatic ductal adenocarcinoma (tPDAC) and colloid subtype pancreatic ductal adenocarcinoma (cPDAC) associated with intraductal papillary mucinous neoplasms (IPMNs) on computed tomography. Methods: An institutional review board-approved retrospective study included patients with either IPMN tPDAC or cPDAC. Enhancing mural nodules (MN), solid component (SC), main pancreatic duct (MPD) diameter, and abrupt change in MPD caliber were evaluated. Results: A total of 22 patients with cPDAC and 17 patients with tPDAC showed no significant difference in MPD size. MN and SC were seen in cPDAC/tPDAC in 55%/18% and 9%/53%, respectively. Abrupt change in MPD caliber was seen in cPDAC/tPDAC at 18%/59%. Conclusion: cPDAC and tPDAC differ in the frequency of MN, SC, and changes in MPD caliber. (C) 2016 Elsevier Inc. All rights reserved.
引用
收藏
页码：1195 / 1199
页数：5
相关论文
共 23 条
[1]  
Adsay N.V., 2010, WHO CLASSIFICATION T, P304
[2]   Intraductal papillary-mucinous neoplasms of the pancreas - An analysis of in situ and invasive carcinomas in 28 patients [J].
Adsay, NV ;
Conlon, KC ;
Zee, SY ;
Brennan, MF ;
Klimstra, DS .
CANCER, 2002, 94 (01) :62-77
[3]   Desmoplastic reaction in pancreatic cancer - Role of pancreatic stellate cells [J].
Apte, MV ;
Park, S ;
Phillips, PA ;
Santucci, N ;
Goldstein, D ;
Kumar, RK ;
Ramm, GA ;
Buchler, M ;
Friess, H ;
McCarroll, JA ;
Keogh, G ;
Merrett, N ;
Pirola, R ;
Wilson, JS .
PANCREAS, 2004, 29 (03) :179-187
[4]   Managing Incidental Findings on Abdominal CT: White Paper of the ACR Incidental Findings Committee [J].
Berland, Lincoln L. ;
Silverman, Stuart G. ;
Gore, Richard M. ;
Mayo-Smith, William W. ;
Megibow, Alec J. ;
Yee, Judy ;
Brink, James A. ;
Baker, Mark E. ;
Federle, Michael P. ;
Foley, W. Dennis ;
Francis, Isaac R. ;
Herts, Brian R. ;
Israel, Gary M. ;
Krinsky, Glenn ;
Platt, Joel F. ;
Shuman, William P. ;
Taylor, Andrew J. .
JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY, 2010, 7 (10) :754-773
[5]   Imaging patterns of intraductal papillary mucinous neoplasms of the pancreas: An illustrated discussion of the International Consensus Guidelines for the Management of IPMN [J].
Campbell, Naomi M. ;
Katz, Seth S. ;
Escalon, Joanna G. ;
Do, Richard K. .
ABDOMINAL IMAGING, 2015, 40 (03) :663-677
[6]   Interobserver Agreement for Detection of Malignant Features of Intraductal Papillary Mucinous Neoplasms of the Pancreas on MDCT [J].
Do, Richard K. G. ;
Katz, Seth S. ;
Gollub, Marc J. ;
Li, Jian ;
LaFemina, Jennifer ;
Zabor, Emily C. ;
Moskowitz, Chaya S. ;
Klimstra, David S. ;
Allen, Peter J. .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2014, 203 (05) :973-979
[7]   Moving beyond Morphology: New Insights into the Characterization and Management of Cystic Pancreatic Lesions [J].
Freeny, Patrick C. ;
Saunders, Michael D. .
RADIOLOGY, 2014, 272 (02) :344-362
[8]   Are the Sendai and Fukuoka Consensus Guidelines for Cystic Mucinous Neoplasms of the Pancreas Useful in the Initial Triage of all Suspected Pancreatic Cystic Neoplasms? A Single-Institution Experience with 317 Surgically-Treated Patients [J].
Goh, Brian K. P. ;
Tan, Damien M. Y. ;
Thng, Choon-Hua ;
Lee, Ser-Yee ;
Low, Albert S. C. ;
Chan, Chung-Yip ;
Wong, Jen-San ;
Lee, Victor T. W. ;
Cheow, Peng-Chung ;
Chow, Pierce K. H. ;
Chung, Alexander Y. F. ;
Wong, Wai-Keong ;
Ooi, London L. P. J. .
ANNALS OF SURGICAL ONCOLOGY, 2014, 21 (06) :1919-1926
[9]  
Ishigami K, 2008, AJR, V91, P1836
[10]   Intraductal papillary mucinous neoplasms of the pancreas: clinical and pathological features and diagnostic approach [J].
Katabi, N. ;
Klimstra, D. S. .
JOURNAL OF CLINICAL PATHOLOGY, 2008, 61 (12) :1303-1313
123