Groove pancreatitis and its differential diagnosis with pancreatic adenocarcinoma

被引:6
作者
Badia Bartolome, Clara [1 ]
Diaz Formoso, Francisco Javier [1 ]
Rodriguez Falcon, Rosario [1 ]
Marchena Gomez, Joaquin [2 ]
机构
[1] Hosp Univ Gran Canaria Doctor Negrin, Serv Radiodiagnost, Las Palmas Gran Canaria, Spain
[2] Hosp Univ Gran Canaria Doctor Negrin, Serv Cirugia Gen, Las Palmas Gran Canaria, Spain
来源
GASTROENTEROLOGIA Y HEPATOLOGIA | 2009年 / 32卷 / 01期
关键词
Pancreatoduodenal groove; Groove pancreatitis; Pancreatic cancer; CYSTIC DYSTROPHY; HETEROTOPIC PANCREAS; DUODENAL WALL;
D O I
10.1016/j.gastrohep.2008.09.005
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
We analyzed the clinical, radiographic and histologic characteristics, as well as the difficulties that arose in the differential diagnosis between groove pancreatitis (a benign entity consisting of a segmental form of chronic pancreatitis occurring as a sheet-like scar in the area of pancreatoduodenal groove) and adenocarcinoma of the pancreas. To this end, four cases with abnormalities in the groove area were retrospectively reviewed, three with groove pancreatitis, and one with adenocarcinoma of the pancreas. The important role of imaging techniques is highlighted, with emphasis on magnetic resonance imaging of the pancreas and magnetic resonance cholangiography, which reveal certain differentiating characteristics between these two entities. However, distinguishing between these entities is often difficult, and sometimes impossible. Consequently, cyto-histological study is always required. (C) 2008 Elsevier Espana, S.L. All rights reserved.
引用
收藏
页码:22 / 28
页数:7
相关论文
共 19 条
[1]   Paraduodenal pancreatitis: a clinico-pathologically distinct entity unifying "cystic dystrophy of heterotopic pancreas," "para-duodenal wall cyst," and "groove pancreatitis" [J].
Adsay, NV ;
Zamboni, G .
SEMINARS IN DIAGNOSTIC PATHOLOGY, 2004, 21 (04) :247-254
[2]   Dynamic secretin-enhanced MR cholangiopancreatography [J].
Akisik, M. Fatih ;
Sandrasegaran, Kumaresan ;
Aisen, Alex A. ;
Maglinte, Dean D. T. ;
Sherman, Stuart ;
Lehman, Glen A. .
RADIOGRAPHICS, 2006, 26 (03) :665-978
[3]  
BECKER V, 1991, INT J PANCREATOL, V10, P173
[4]  
DOMINGUEZMUNOZ JE, 2006, GASTROENTEROL HEPATO, V29, P77
[5]   Groove pancreatic carcinomas: radiological and pathological findings [J].
Gabata, T ;
Kadoya, M ;
Terayama, N ;
Sanada, J ;
Kobayashi, S ;
Matsui, O .
EUROPEAN RADIOLOGY, 2003, 13 (07) :1679-1684
[6]   MRI of groove pancreatitis [J].
Irie, H ;
Honda, H ;
Kuroiwa, T ;
Hanada, K ;
Yoshimitsu, K ;
Tajima, T ;
Jimi, M ;
Yamaguchi, K ;
Masuda, K .
JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY, 1998, 22 (04) :651-655
[7]   Cystic dystrophy of the duodenal wall associated with chronic alcoholic pancreatitis -: Clinical features, diagnostic procedures and therapeutic management in a retrospective multicenter series of 23 patients [J].
Jouannaud, Vincent ;
Coutarel, Pierre ;
Tossou, Herve ;
Butel, Joel ;
Vitte, Rene-Louis ;
Skinazi, Florence ;
Blazquez, Martine ;
Hagege, Herve ;
Bories, Christian ;
Rocher, Philippe ;
Belloula, Djamel ;
Latrive, Jean-Paul ;
Meurisse, Jean-Jacques ;
Eugene, Claude ;
Dellion, Marie-Pierre ;
Cadranel, Jean-Francois ;
Pariente, Alex .
GASTROENTEROLOGIE CLINIQUE ET BIOLOGIQUE, 2006, 30 (04) :580-586
[8]   Radiologic spectrum of intraductal papillary mucinous tumor of the pancreas [J].
Lim, JH ;
Lee, G ;
Oh, YL .
RADIOGRAPHICS, 2001, 21 (02) :323-337
[9]   Five-year follow-up of a prospective non-randomised study comparing duodenum-preserving pancreatic head resection with classic Whipple procedure in the treatment of chronic pancreatitis [J].
Moebius, C. ;
Max, D. ;
Uhlmann, D. ;
Gumpp, K. ;
Behrbohm, J. ;
Horvath, K. ;
Hauss, J. ;
Witzigmann, H. .
LANGENBECKS ARCHIVES OF SURGERY, 2007, 392 (03) :359-364
[10]  
Mohl W, 2001, DIGEST DIS SCI, V46, P1034, DOI 10.1023/A:1010710011767