Groove pancreatic carcinomas: radiological and pathological findings View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2002-11-19

AUTHORS

Toshifumi Gabata, Masumi Kadoya, Noboru Terayama, Junichiro Sanada, Satoshi Kobayashi, Osamu Matsui

ABSTRACT

. The aim of this study was to clarify the characteristics of pancreatic head carcinomas mainly invading the groove between the duodenum and the pancreatic head. Nine patients with pathologically proven pancreatic head carcinomas underwent thin-slice dynamic CT, MR imaging, duodenal endoscopy, and angiography (seven patients). Plate-like masses within the groove region were seen in all cases, which showed hypointensity on T1-weighted images and slight hyperintensity on T2-weighted MR images. The masses appeared hypovascular in the early phase and delayed enhancement in the late phase of dynamic CT and MR imaging. On MR cholangiopancreatography, stenosis of intrapancreatic common bile duct was seen in all patients, whereas stenosis of the main pancreatic duct was seen in only three cases. Endoscopy revealed luminal narrowing of the duodenum in all patients, and duodenal mucosal biopsy demonstrated adenocarcinoma in seven patients. Abdominal arteriography showed serrated encasement of peripancreatic arteries in seven patients who received angiographic examinations. The CT and MR imaging findings of groove pancreatic carcinomas resemble those of groove pancreatitis. Differential diagnosis may be achieved by the pathological diagnosis of a biopsy specimen of the duodenal mucosa and arterial encasement on arteriography. More... »

PAGES

1679-1684

References to SciGraph publications

  • 2001-10-30. Preoperative local MRI-staging of patients with a suspected pancreatic mass in EUROPEAN RADIOLOGY
  • 1998-03. Segmental groove pancreatitis accompanied by protein plugs in Santorini's duct in JOURNAL OF GASTROENTEROLOGY
  • 1997-04. Groove pancreatitis with recurrent duodenal obstruction in JOURNAL OF GASTROINTESTINAL CANCER
  • 1991-11. Groove pancreatitis in JOURNAL OF GASTROINTESTINAL CANCER
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00330-002-1743-1

    DOI

    http://dx.doi.org/10.1007/s00330-002-1743-1

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1033116688

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/12835985


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