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췌장질환의 감별진단 : CT 상 복강동맥 및 상장간막 주변부 변화의 의의

Other Titles
 Differential Diagnosis of the Pancreatic Diseases : Significance of Perivascular Changes at Celiac Trunk and Superior Mesenteric Artery on CT 
Authors
 권량  ;  유정식  ;  김지형  ;  김동국  ;  이성일  ;  안창수  ;  오세정  ;  김영환 
Citation
 Journal of the Korean Radiologist Society (대한방사선의학회지), Vol.38(3) : 503-506, 1998 
Journal Title
 Journal of the Korean Radiologist Society (대한방사선의학회지) 
ISSN
 0301-2867 
Issue Date
1998
Keywords
Pancreas, CT ; Pancreas, inflammation ; Pancreas, neoplasms
Abstract
PURPOSE: To classify perivascular change in the celiac trunk and SMA occurring in pancreatic disease and toevaluate its significance in differential diagnosis. MATERIALS AND METHODS: In 73 patients with pancreaticdisease (42, acute pancreatitis; 14, chronic pancreatitis; 17, panreatic cancer) abdominal CT findings wereretrospectively reviewed. We defined " infiltration" as linear or irregular density and "thickening" as presenceof a soft tissue mantle surrounding the vessel, and statistically evaluated the usefulness of these factors forthe differential diagnosis of pancreatic diseases. RESULTS: In 13/42 cases of acute pancreatitis (31%), 4/14 ofchronic pancreatitis (28.6%), and 6/17 of pancreatic cancer (35.3%), periceliac infiltration was observed; thefrequencies were not statistically significant (p=0.916). Peri-SMA infiltration was demonstrated in 9/42 of acutepancreatitis (21.4%), 4/14 of chronic pancreatitis (28.6%), and 5/17 of pancreatic cancer (29.4%); again, thesefrequencies were not statistically significant (p=0.758). Thickening of the celiac trunk and SMA was observed onlyin pancreatic cancer, in 3/17 (17.6%) and 7/17(41.2%) cases, respectively, with statistical significance (p<0.05). CONCLUSION: Thickening of the celiac trunk and SMA is a valuable finding in the differential diagnosis ofpancreatic inflammatory disease and pancreatic cancer. When applied to the differential diagnosis of pancreaticdisease, perivaseular change should be classified as either infiltration or thickening.
Files in This Item:
T199803036.pdf Download
DOI
10.3348/jkrs.1998.38.3.503
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Yu, Jeong Sik(유정식) ORCID logo https://orcid.org/0000-0002-8171-5838
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/177038
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