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KMID : 0368019870100010141
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Journal of Soonchunhyang University
1987 Volume.10 No. 1 p.141 ~ p.146
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Findings of Pancreatic Cancer and Pancreatitis on Computed Tomography
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이병호/Lee, Byung Ho
김일영/송옥평/Kim, Il Young/Song, Ok Pyoung
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Abstract
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CT is generally considered as the best imaging method for pancreatic disease such as pancreatic cancer and pancreatitis.
We reviewed CT films of 15 cases of pancreatic cancer and 10 cases of pancreatitis which were confirmed on clinical or histological base, and the results were as follows.
1. Most cases of pancreatic cancer showed a focal mass in pancreatic head, while most
cases of pancreatitis showed a diffuse enlargement of pancreas.
2. Frequently noted findings of pancreatic cancer were obliteratation of peripancreatic fat plane, dilatation of bile duct, vascular thickening, and enlargement of retro - peritoneal lymphnodes.
3. Frequently noted findings of pancreatitis were blurring of surrounding fat density, thickening of Gerota´s fascia, peripancreatic fluid collection, pancreatic duct dilatation.
4. Most cases of focal mass in pancreatic cancer showed irregular surface and heterogenous enhancement-
5 Two cases of focal mass in pancreatic cancer showed smooth surface and homogenous enhancement, and could not be differentiated with a case of focal pancreatitis, which showed a focal enlargement of pancreatic head.
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