协和医学杂志

2019, v.10(01) 11-18

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影像学检查在胰腺导管腺癌临床诊疗路径中的作用及价值
State-of-the-art Imaging in the Diagnosis and Treatment of Pancreatic Ductal Carcinoma: Current Role and Value

何铭;薛华丹;金征宇;赵玉沛;
HE Ming;XUE Hua-dan;JIN Zheng-yu;ZHAO Yu-pei;Department of Radiology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences & Peking Union Medical College;Department of General Surgery,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences & Peking Union Medical College;

摘要(Abstract):

胰腺导管腺癌(pancreatic ductal carcinoma,PDAC)是一种极为凶险、高度恶性的消化道肿瘤,其诊治路径中的常见问题主要包括:(1)筛查和早期检出;(2)术前评估及准确分期;(3)鉴别诊断;(4)随访及治疗评估,影像学在其中均扮演重要角色。本文总结各种影像学检查在PDAC诊治路径中的作用及价值,深入了解各种影像学检查的优势和局限性,提供基于证据的PDAC影像学检查流程,并重点阐述PDAC影像诊断与鉴别诊断要点,从而更好地指导临床决策,改善PDAC患者预后。
Pancreatic ductal carcinoma( PDAC) is a highly malignant tumor of the digestive tract. The common problems in its diagnosis and treatment include:( 1) screening and early detection;( 2) accurate diagnosis and staging;( 3) differential diagnosis;( 4) follow-up and treatment evaluation,in which imaging plays an important role. This article summarized the role and value of various imaging examinations in the diagnosis and treatment of PDAC,explained the advantages and limitations of various imaging examinations,provided evidencebased PDAC imaging examination process,and focused on the key points of PDAC imaging diagnosis and differential diagnosis,so as to better guide clinical decision-making and improve the prognosis of patients with PDAC.

关键词(KeyWords): 胰腺癌;诊治;临床路径;影像学
pancreatic ductal carcinoma;diagnosis and treatment;clinical pathway;imaging

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基金项目(Foundation): 国家自然科学基金面上项目(81871512)

作者(Author): 何铭;薛华丹;金征宇;赵玉沛;
HE Ming;XUE Hua-dan;JIN Zheng-yu;ZHAO Yu-pei;Department of Radiology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences & Peking Union Medical College;Department of General Surgery,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences & Peking Union Medical College;

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