PDF(Pubmed)
Abstract：
A serous cystic tumor is a rare entity that has a benign course. Its imaging characteristics, such as the presence of multiple cysts with or without nodular enhancement, can simulate other cystic or solid lesions of the pancreas. Identification of the enhancing scar with punctate calcifications on computed tomography (CT) or magnetic resonance imaging (MRI) may be a distinctive finding suggesting this diagnosis. Neuroendocrine tumors of the pancreas are a different and also rare entity. In images, they have early arterial enhancement. In MRI, they are hyperintense on T2 and hypointense on T1, with avid contrast enhancement. A case of a patient with two focal lesions in the pancreas is presented and the importance of integrating clinical findings, semiology in diagnostic images and, if applicable, the histopathological result for the optimal management of pancreatic tumors is illustrated, highlighting the crucial role of a radiologist in this process.
摘要：
浆液性囊性肿瘤是一种罕见的实体，具有良性病程。其成像特点,例如存在多个囊肿，有或没有结节状增强，可以模拟胰腺的其他囊性或实性病变。在计算机断层扫描（CT）或磁共振成像（MRI）上识别具有点状钙化的增强疤痕可能是提示这种诊断的独特发现。胰腺的神经内分泌肿瘤是不同的并且也是罕见的实体。在图像中,他们有早期动脉增强。在核磁共振中,它们在T2上是高强度的，在T1上是低强度的，具有强烈的对比度增强。介绍了一例胰腺有两个局灶性病变的患者，以及整合临床表现的重要性，诊断图像中的符号学，如果适用，说明了胰腺肿瘤最佳管理的组织病理学结果，强调放射科医师在这一过程中的关键作用。
