The clinical and imaging spectrum of pancreaticoduodenal lymph node enlargement
| Autor: | Peter L. Choyke, David M. Paushter, M H Jaffe, Edward G. Grant, Robert K. Zeman, L R Clark, Mark L. Schiebler |
|---|---|
| Rok vydání: | 1985 |
| Předmět: |
Adult
Male medicine.medical_specialty Pancreatic abnormality Pathology Pancreatic malignancy medicine Humans Radiology Nuclear Medicine and imaging Intact tissue Duodenal Diseases Lymphatic Diseases Lymph node Pancreaticoduodenal lymphadenopathy Aged Ultrasonography Confusion business.industry Pancreatic Diseases General Medicine Middle Aged Jaundice medicine.anatomical_structure Female Radiology medicine.symptom Tomography X-Ray Computed business Pancreas |
| Zdroj: | American Journal of Roentgenology. 144:1223-1227 |
| ISSN: | 1546-3141 0361-803X |
| DOI: | 10.2214/ajr.144.6.1223 |
| Popis: | Pancreaticoduodenal lymph node enlargement, regardless of cause, has been a source of imaging confusion because of its propensity to mimic pancreatic malignancy yet not cause biliary obstruction. Thirty-eight patients with pancreaticoduodenal adenopathy were imaged with several methods. Pancreaticoduodenal lymphadenopathy could be distinguished from intrinsic pancreatic abnormality on only 44% (14/32) of CT scans and 54% (6/11) of sonograms. Demonstration of intact tissue planes separating adenopathy from pancreas and, to a lesser degree, extrapancreatic vascular displacement were the most helpful diagnostic signs. Surprisingly, 31% of patients had biliary obstruction. Care must be taken in distinguishing metastatic lymphadenopathy from primary pancreatic tumors. The presence or absence of jaundice should not be considered a helpful sign. |
| Databáze: | OpenAIRE |
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