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TheimagingmanifestationofpancreaticcancerPancreaticcancerbeginsinthetissuesofthepancreasanatomicstructureTheimagingmanifestationofpCase11CT00076664yMalefeelabdominalandbackpainJaundicefor2monthsCase11CT000766Plainscan：Airregularslightlylowerdensitymassislocatedintheheadofthepancreas.Plainscan：AirregularsligContrast-enhancedscan（Arterialphase）：themasswasslightlyenhancedandtheSMA（superior mesenteric artery）wassurroundedbythemass.Contrast-enhancedscan（ArteriPortalvenousphase：Theenhancementofthemassisslowlystrengthened.Portalvenousphase：TheenhanCTImagingfindingsCTfeatures:1pancreaticparenchymalmass,asitsmainfeatures.Tumormorphologyfortheoval,lobulatedorirregularmass,irregularmargin,andtheboundaryofpancreatictissueisnotclear.2.Pancreaticcontour,contourandsizechangeisanotherimportantsignCTImagingfindingsCTfeatureBileductandpancreaductdilationisanindirectsignindirectsignBileductandpancreaductdiDiagnosisPancreaticMediumtohighdifferentiationadenocarcinomaDiagnosisPancreaticMediumtodifferentialdiagnosisChronicpancreatitisCTindifferentialdiagnosisofpancreaticcancer:Thelesionofpancreaticcancermultiplenodes,limited,irregularedge,liquefiednecrosis,calcificationisrare.Pancreatitiscanbenormalregion,liquefactionnecrosisisrare,calcification,especiallyalongtheducttothedistributionofthecalcificationsareitsimportantcharacteristics.Pancreatitisbileductandpancreaductdilationofirregular,oftenthroughthelesion,butnotthroughthepancreaticcancerlesions,foundtheimportantsignofmetastasisisalsoadifferential.differentialdiagnosisChronic胰腺癌影像学表现英语读片课件胰腺癌影像学表现英语读片课件pancreaticcystadenocarcinomaortumorpancreaticcystadenocarcinomaortumorwhenpancreaticcancerappearedliquefactionwhenpancreaticcancerappearedliquefactionnecrosisislarger,itsneedtodifferential.necrosisislarger,itsneedtodifferential.pancreaticcystadenocarcinomaortumorCTpancreaticcystadenocarcinomaortumorCTshowedcysticmass,cysticshowedcysticmass,cysticwallshowedirregularmuralwallshowedirregularmuralnodule,enhancedthewallandfibernodule,enhancedthewallandfiberseparationcanstrengthen,thecentralpartseparationcanstrengthen,thecentralpartofthetumorcalcificationofthetumorcalcificationbiliaryandpancreaticbiliaryandpancreaticductdilationorobstructionisrareInMRCPrareInMRCP pancreaticcystadenocarcinoma胰腺癌影像学表现英语读片课件胰腺癌影像学表现英语读片课件Tuberculosisofpancreaspancreatictuberculosisoftenhavetuberculosispoisoningsymptomssuchasfever,lossofappetite,sweating,italsoshowedasimilartothelesionscausedbyobstructivejaundice,itscharacteristicistheheadofthepancreasandsurroundingshowedmultipleenlargedlymphnodes,lesionsseeninmanyaspeckledcalcification.Tuberculosisofpancreas胰腺癌影像学表现英语读片课件generalsituationPancreaticcanceristhemostcommontumorofpancreasAtpresent,theprognosisremainspoor,highmortalityrateAccordingtoreports,aroundtheworldeachyearnewprimarypancreaticcancerpatientsisabout185000casesThemortalityrateisnearly100%.generalsituationPancreaticPancreaticcancerintheelderlymorecommon,butthereare.alsochildrensreportsofpatients.pancreaticcancerMostlyoccursintheheadofpancreas,accountsforabout75%,thebodyandthetailisnext.Sometimesthethreepartsareinvolved,calleddiffusepancreaticcancer.PancreaticcancerintheelderClinicalpresentation Weight lossWeight loss Abdominal painAbdominal pain JaundiceJaundice SteatorrhoeaSteatorrhoea Diabetes MellitusDiabetes Mellitus Acute PancreatitisAcute Pancreatitis Malignant AscitesMalignant Ascites Gastric Outlet ObstructionGastric Outlet ObstructionClinicalpresentation Surgical Options:Surgical Options:A.Whipple operation(Pancreatico-duodenectomy)B.Pylorus Preserving Pancreaticoduodenectomy C.Total Pancreatectomy d.Palliative Surgical TreatmentContnPancreaticcancershouldtothesurgerytreatprimarily.SurgicalOptions:Pancreat谢谢！胰腺癌影像学表现英语读片课件
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