|
|
The correlation reasearch between the head of pancreatic ductal adenocarcinoma and#br#
diameter of main pancreatic duct and common bile duct |
1. Department of Medical Imaging, Shanxi Medical University, Taiyuan 030001, China;
2. Department of CT, First Hospital, Shanxi Medical University, Taiyuan 030001, China |
|
|
Abstract Objective: To investigate the relationship between the size of the lesion, differentiation grade and the diameter of the pancreatic duct and common bile duct by using imaging surface reconstruction in 64-MDCT. Methods: Forty-five patients MDCT imaging with pancreatic ductal adenocarcinoma(confirmed by pathology) were retrospective analyzed from September 23, 2013 to June 17, 2015. The diameter of the main pancreatic duct, the longest diameter of the main pancreatic duct and the diameter of the common bile duct were statistically analyzed. Results: High(7 cases), medium(21) and low(17) differentiated ductal adenocarcinoma were confirmed in this group; and average size of pancreatic head carcinoma was (2.33±0.86) cm. There was no correlation between differentiated grade and its average diameter of common bile duct at upper and posterior duodenal level. There was positive correlation between differentiated grade and average diameter of common bile duct obstruction upstream. There was no correlation among the size of pancreatic head carcinoma with diameter of the neck, body and tail of the main pancreatic duct, and negative correlation between the pancreatic head carcinoma and average diameter of the main pancreatic duct and positive correlation with average diameter of the pancreatic duct obstruction at upstream level. Between poorly and moderately differentiated pancreatic ductal adenocarcinoma, average diameter of the upper main pancreatic duct was statistically significant difference. Upstream bile duct diameter was no statistically significant difference among poorly, moderately and highly differentiation of ductal adenocarcinoma. Conclusion: Differentiation garde of pancreatic head carcinoma was certainly correlated with the average diameter of the main pancreatic duct.
|
Received: 03 August 2015
|
|
Corresponding Authors:
ZHANG Rui-ping
|
|
|
|
Cite this article: |
SU Chun-yan1,ZHANG Rui-ping2,LI Jian-ding2, et al. The correlation reasearch between the head of pancreatic ductal adenocarcinoma and#br#
diameter of main pancreatic duct and common bile duct[J]. JOURNAL OF CHINA MEDICAL IMAGING, 2016, 27(3): 173-176.
|
|
|
|
URL: |
http://www.jccmi.com.cn/EN/ OR http://www.jccmi.com.cn/EN/Y2016/V27/I3/173 |
[1]Risch HA, Yu H, Lu L. Detectable symptomatology preceding the diagnosis of pancreatic cancer and absolute risk of pancreatic cancer diagnosis[J]. Am J Epidemiol, 2015, 182(1): 26-34.
[2]Kinney TP, Freeman ML. Recent advances and novel methods in pancreatic imaging[J]. Minerva Gastroenterol Dietol, 2008, 549(1): 85-95.
[3]吴江,朱虹,王中秋,等. 胰腺癌CT表现与手术病理及D2-40表达的相关性研究[J]. 医学影像学杂志,2012,22(1):95-112.
[4]李超,戚峰,刘彤. 胰头癌63例临床病理分析[J]. 中国中西医结合外科杂志,2010,16(4):414-418.
[5]潘树波,赵红川,谢坤,等. 增强CT和PET/CT对胰腺癌诊断及分期中的价值[J]. 肝胆外科杂志,2013,21(6):453-456.
[6]任晓平. CT在胰腺癌的临床应用研究[J]. 实用医技杂志,2012,19(9):906-907.
[7]王海生,韩艳平. 胰腺癌多层螺旋CT影像表现与病理对照分析[J]. 实用癌症杂志,2014,29(7):806-807.
[8]高源统,张敏鸣,孙利敏,等. 胰腺癌的CT增强与病理分级、瘤体血管生成的相关性研究[J]. 肝胆胰外科杂志,2010,22(5):384-389.
[9]王中秋,黎介寿,卢光明,等. 胰腺癌CT增强和瘤体微血管密度及病理分级的相关性研究[J]. 中华医学杂志,2003,83(21):1882-1886.
[10]田笑,鹿强,殷小平,等. 胰头部肿块型慢性胰腺炎与胰头癌的CT鉴别诊断[J]. 中国临床医学影像杂志,2010,21(8):549-552.
[11]Mortele KJ, Rocha TC, Streeter JL, et al. Mutimodality imaging of pancreatic and biliary congenital anomalies[J]. Radiographics, 2006, 26(8): 715-731.
[12]朱玉春,周伟,张怀信,等. 胰腺癌瘤体强化程度与其恶性度的对照分析[J]. 中国医学影像技术,2007,23(11):1676-1679. |
|
|
|