导管内管状腺瘤:1例导管内胰腺病变的诊断方法

Shiv K. Desai, C. Schammel, D. Schammel, A. Devane, D. Steven, Trocha
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引用次数: 0

摘要

胰腺导管内病变是一种越来越被认识到的、放射学上可检测的实体,鉴于其不同的预后,需要系统的诊断方法来最好地定义管理。本文报告一例孤立的导管内管状腺瘤(ITA),并进行了全面的文献复习;将ita与导管内乳头状粘液瘤(IPMNs)和导管内管状癌(ITCs)进行比较,评估其独特的影像学和组织学表现,并根据已有文献讨论这些病变分类的演变。我们设计并提出了一个算法来评估这些导管内病变,以创建一个系统的方法来诊断和管理这些病变。组织学特征反映了上述MPD的结果;未发现有丝分裂率增加、细胞学异型性或坏死。包含IHC indeterminant
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Intraductal Tubular Adenoma: A Case Report and Diagnostic Algorithm for Intraductal Pancreatic Lesions
A Case Report and Diagnostic Algorithm for Intraductal Abstract Intraductal lesions of the pancreas are an increasingly recognized, radiologically detectable group of entities that require a systematic diagnostic approach to best define management given their variable prognoses. A case of isolated intraductal tubular adenoma (ITA) is reported with a comprehensive literature review; comparison of ITAs with intraductal papillary mucinous neoplasms (IPMNs) and intraductal tubular carcinomas (ITCs) is made with assessment of their distinctive imaging and histological findings and discussion of the evolution of these lesions’ classifications with regards to the established literature. We designed and propose an algorithm for the evaluation of these intraductal lesions to create a systematic approach for the diagnosis and management of such lesions. and histologic characteristics mirrored the aforementioned findings from the MPD; no increased mitotic rate, cytological atypia, or necrosis were identified. IHC indeterminant
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