CT findings of pancreatic disease

Lee, M S; Park, I S; Jeon, D S; Kim, H S; Rhee, H S; Won, J J

Abstract

CT was found to be a reliable, often specific, and noninvasive method for detecting pancreatic diseases. In astudy of pancreatic lesions, 37 cases having satisfactory operative and histological proofs were analyzed by CT atPMC from Jan. 1986 to Oct. 1987. The results were as following: 1. Male: female is 26:11. 2. The incidence ofpancreatic disease were as follows: 1) Pancreatic cancer: 21 cases(56%) a. Head :12 cases b. Body :4 cases c. Tail:1 cases d. Body & tail : 1 cases e. Uncinate process :2 cases f. Entire pancrease: 1 cases 2) Acute pancreatitis:6 cases(16%) 3) Chronic pancreatitis :5 cases(14%) 3. The characteristic CT findings: 1) 100% of pancreatic headcancer showed focal mass or alteration of pancreatic head contour and biliary tree dilatation, and 33%(7/12) fatline obliteration. 2) All of other pancreatic cancer except head appeared as focal mass or contour alteration andfat line obliteration. 3) Total 6 case of acute pancreatitis showed that 5 cases diffuse enlargement of pancreas,3 fluid collection (2 cases: left anterior pararenal & posterior pararenal space and lesser sac, 1 case: onlypancrease body) and 1 cases abscess formation. 4) Total 5 cases of chronic pancreatitis revealed diffuseenlargement 2 cases & atrophy 1 case, pancreatic ductal dilatation 3 cases, calcification 2 cases, and biliarytree dilatation with CBD tapering appearance 1 case. 5) All cases of pseudocysts were well marginated cysticlesions that located at head in 3 cases and tail 3 cases, and 4 cases were well defined pure cystic masses but1case was well capsulated cyst with multiple internal septation.

CT findings of pancreatic disease

Abstract

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