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Pancreatic Tumors

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Multislice CT

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

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Abstract

Imaging plays a critical role in diagnosing and characterizing pancreatic neoplasms, as well as for evaluation of the extent of disease and selection of patients to undergo surgery. Multidetector row computed tomography (MDCT) is the most widely used modality in the staging of the pancreatic neoplasms and high-quality MDCT using a multiphase acquisition protocol is widely accepted as the procedure of choice for evaluation of pancreatic malignancies. Pancreatic cancer is the most common solid pancreatic neoplasms, and remains one of the deadliest cancers worldwide. Pancreatic cancer has an ill-defined hypoattenuation appearance on CT and is best seen on the pancreatic phase of CT examination. Pancreatic neuroendocrine tumor (PNET) is the next most common solid neoplasm in the pancreas, and comprise both functional tumors and nonfunctioning tumors. Nonfunctioning PNETs are the most common type of PNET, and typically demonstrate heterogeneous hyperenhancement. Pancreatic cystic neoplasms are increasingly detected due to widespread use of cross-sectional imaging, and include serous cystadenoma, mucinous cystic neoplasms, intraductal papillary mucinous neoplasm, and solid pseudopapillary neoplasms. Although it is not rare to have uncertainty about the diagnosis and varying recommendation for follow-up or treatment on imaging, MDCT has provided improving ability to correctly characterize individual cystic lesions in the pancreas.

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  1. Department of Radiology, Seoul National University Hospital, Seoul, Korea

    Jeong Min Lee & Hyo-Jin Kang

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  1. Department of Radiology, Universitätsklinikum Tübingen, Tübingen, Baden-Württemberg, Germany

    Konstantin Nikolaou

  2. Department of Diagnostic and Interventional Radiology, University of Freiburg, Freiburg, Germany

    Fabian Bamberg

  3. Department of Surgical and Medical Sciences and Translational Medicine, “Sapienza” – University of Rome, Rome, Italy

    Andrea Laghi

  4. Department of Radiology, Duke University School of Medicine, Durham, NC, USA

    Geoffrey D. Rubin

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Lee, J.M., Kang, HJ. (2017). Pancreatic Tumors. In: Nikolaou, K., Bamberg, F., Laghi, A., Rubin, G.D. (eds) Multislice CT. Medical Radiology(). Springer, Cham. https://doi.org/10.1007/174_2017_134

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