LESIONES HIPERVASCULARES PANCRÉATICAS
Palabras clave:
lesiones, hipervasculares, diagnóstico, diferencial, pancreas, pancreáticoResumen
1 Diagnóstico diferencial de las lesiones pancreáticas únicas o múltiples hipervasculares en el contexto de pacientes con antecedente oncológico de tumor primario hipervascular, fundamentalmente en el carcinoma renal. El problema clínico-radiológico que se plantea para distinguir entre una metástasis de carcinoma de células renales (fuerte tropismo para metastatizar en páncreas), y los mucho más frecuentes TNE.
2 Lesiones hipervasculares pancreáticas únicas vs múltiples en pacientes sin antecedentes oncológicos previos en el contexto de TNE único o Síndromes familiares (Men1, Sd VHL..)
3 Lesión hipervascular única en páncreas confirmada con AP como TNE y con comportamiento radiológico discretamente atípico en las pruebas de imagen.
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Kassabian A, Stein J, Jabbour N, Parsa K, Skinner D, Parekh D, et al. Renal cell carcinoma metastatic to the pancreas: a single-institution series and review of the literature. Urology. 2000 Aug 1;56(2):211–5.
Raman SP, Hruban RH, Cameron JL, Wolfgang CL, Fishman EK. Pancreatic imaging mimics: part 2, pancreatic neuroendocrine tumors and their mimics. AJR Am J Roentgenol. 2012 Aug;199(2):309–18. 3. Coakley FV, Hanley-Knutson K, Mongan J, Barajas R, Bucknor M, Qayyum A. Pancreatic imaging mimics: part 1, imaging mimics of pancreatic adenocarcinoma. AJR Am J Roentgenol. 2012 Aug;199(2):301–8.
Lewis RB, Lattin GE, Paal E. Pancreatic endocrine tumors: radiologic-clinicopathologic correlation. Radiographics. 2010 Oct;30(6):1445–64.
Xue H-D, Liu W, Xiao Y, Sun H, Wang X, Lei J, et al. Pancreatic and peri-pancreatic lesions mimic pancreatic islet cell tumor in multidetector computed tomography. Chin Med J. 2011 Jun;124(11):1720–5.
Manfredi R, Bonatti M, Mantovani W, Graziani R, Segala D, Capelli P, et al. Non-hyperfunctioning neuroendocrine tumours of the pancreas: MR imaging appearance and correlation with their biological behaviour. Eur Radiol. 2013 Nov;23(11):3029–39.
Scarsbrook AF, Thakker RV, Wass JAH, Gleeson FV, Phillips RR. Multiple endocrine neoplasia: spectrum of radiologic appearances and discussion of a multitechnique imaging approach. Radiographics. 2006 Apr;26(2):433–51.
Shi H, Zhao X, Miao F. Metastases to the Pancreas: Computed Tomography Imaging Spectrum and Clinical Features. Medicine (Baltimore) [Internet]. 2015 Jun 12 [cited 2016 Mar 16];94(23). Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4616474/
Vincenzi M, Pasquotti G, Polverosi R, Pasquali C, Pomerri F. Imaging of pancreatic metastases from renal cell carcinoma. Cancer Imaging. 2014;14:5.
Leung RS, Biswas SV, Duncan M, Rankin S. Imaging Features of von Hippel–Lindau Disease. RadioGraphics. 2008 Jan 1;28(1):65–79.
Guan Z, Xu B, Wang R, Sun L, Tian J. Hyperaccumulation of (18)F-FDG in order to differentiate solid pseudopapillary tumors from adenocarcinomas and from neuroendocrine pancreatic tumors and review of the literature. Hell J Nucl Med. 2013 Aug;16(2):97–102.
Levy AD, Patel N, Dow N, Abbott RM, Miettinen M, Sobin LH. From the archives of the AFIP: abdominal neoplasms in patients with neurofibromatosis type 1: radiologic-pathologic correlation. Radiographics. 2005 Apr;25(2):455–80.
Kang TW, Kim SH, Lee J, Kim AY, Jang KM, Choi D, et al. Differentiation between pancreatic metastases from renal cell carcinoma and hypervascular neuroendocrine tumour: Use of relativepercentage washout value and its clinical implication. Eur J Radiol. 2015 Nov;84(11):2089–96.
Klein KA, Stephens DH, Welch TJ. CT characteristics of metastatic disease of the pancreas. Radiographics. 1998 Apr;18(2):369–78.
Bhavsar AS, Verma S, Lamba R, Lall CG, Koenigsknecht V, Rajesh A. Abdominal manifestations of neurologic disorders. Radiographics. 2013 Feb;33(1):135–53.