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ECR 2019 / C-2827
Certificate of Merit
Malignant pancreatic cystic lesions – is the imaging diagnosis accurate?
Congress: ECR 2019
Poster No.: C-2827
Type: Educational Exhibit
Keywords: Cancer, Education, Comparative studies, MR, CT, Abdomen
Authors: A. Dijmarescu, M. Buzoianu, C. Peneoasu, A. Serban, B. Cotruta, V. Herlea, M. Grasu, I. G. Lupescu; Bucharest/RO
DOI:10.26044/ecr2019/C-2827

Conclusion

  • Imaging aspects in PCL are essential for framing them correctly - identifying those with malignant potential for choosing the optimal treatment.
  • Patient's age, gender, history, clinical and biological context are important for the orientation of the diagnosis and management of the case.
  • Ultrasound is the first intention method with high rate of incidental finding, but CT remains the best method of detection and staging in patients with pancreatic lesions, with assessment of the vascular involvement as well.
  • MRI should always be performed because it is superior to CT in characterizing the cystic nature of a pancreatic lesion and in the evaluation of the pancreatic duct and bile ducts.
  • Although imaging features may be highly suggestive for the diagnosis, histopathology remains the gold-standard method for a precise diagnosis. 

We elaborated an algorithm for non invasive imaging in pancreatic tumors (Fig.17).

Fig. 17: Algorithm for non-invasive imaging in pancreatic cystic tumors
References: Adrian Dijmarescu, Fundeni Clinical Institute
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