key words: 漿液性嚢胞腺腫、漿液性嚢胞腺癌、膵囊胞性病変

Serous cystadenoma,　SCA, 　SCAs, 　cystic lesions of the pancreas

漿液性嚢胞腺腫の文献とURL表示

・SCA の病理と対比したMDCTの診断

Shah AA, Sainani NI, Kambadakone AR, et al.

Predictive value of multi-detector computed tomography for accurate diagnosis of serous cystadenoma: radiologic-pathologic correlation.

World J Gastroenterol. 2009 Jun 14;15(22):2739-47.
http://www.ncbi.nlm.nih.gov/pubmed?term=Predictive%20value%20of%20MDCT%20for%20accurate%20diagnosis%20of%20serous
直接PDF(Free)
http://www.wjgnet.com/1007-9327/pdf/v15/i22/2739.pdf

・典型、非典型の漿液性嚢胞腺腫
Choi JY, Kim MJ, Lee JY, et al.

Typical and atypical manifestations of serous cystadenoma of the pancreas: imaging findings with pathologic correlation.

AJR Am J Roentgenol. 2009 Jul;193(1):136-42.
http://www.ncbi.nlm.nih.gov/pubmed/19542405
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・漿液性嚢胞腺腫：serous oligocystic adenma とMCTやIPMNとの鑑別の論文
Kim SY, Lee JM, Kim SH, Shin KS, Kim YJ, An SK, Han CJ, Han JK, Choi BI.

Macrocystic neoplasms of the pancreas: CT differentiation of serous oligocystic adenoma from mucinous cystadenoma and intraductal papillary mucinous tumor.

AJR Am J Roentgenol. 2006 Nov;187(5):1192-8.

http://www.ncbi.nlm.nih.gov/pubmed/17056905

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・膵嚢胞性病変のまとめ論文

Kalb B, Sarmiento JM, Kooby DA, et al.
MR imaging of cystic lesions of the pancreas.
Radiographics. 2009 Oct;29(6):1749-65.

http://www.ncbi.nlm.nih.gov/pubmed/19959519

2012年3月3日現在Free

・膵充実と囊胞性病変の拡散強調像論文まとめ

Wang Y, Miller FH, Chen ZE, et al.
Diffusion-weighted MR imaging of solid and cystic lesions of the pancreas.
Radiographics. 2011 May-Jun;31(3):E47-64. Review.

http://www.ncbi.nlm.nih.gov/pubmed/21721197

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・SCN　の臨床的特徴の論文

Fukasawa M, Maguchi H, Takahashi K, et al.
Clinical features and natural history of serous cystic neoplasm of the pancreas.
Pancreatology. 2010;10(6):695-701. Epub 2011 Jan 18.

http://www.ncbi.nlm.nih.gov/pubmed/21242709

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・PK と　SCN, MCT, 偽嚢胞との鑑別

Lv P, Mahyoub R, Lin X, et al.
Differentiating pancreatic ductal adenocarcinoma from pancreatic serous cystadenoma, mucinous cystadenoma, and a pseudocyst with detailed analysis of cystic features on CT scans: a preliminary study.
Korean J Radiol. 2011 Mar-Apr;12(2):187-95. Epub 2011 Mar 3.
http://www.ncbi.nlm.nih.gov/pubmed/21430935
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・大腸と脾臓に浸潤した悪性SCCs の症例
Cho W, Cho YB, Jang KT, et al.
Pancreatic serous cystadenocarcinoma with invasive growth into the colon and spleen.
J Korean Surg Soc. 2011 Sep;81(3):221-4. Epub 2011 Sep 26.
http://thesurgery.or.kr/DOIx.php?id=10.4174/jkss.2011.81.3.221
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Bano S, Upreti L, Puri SK, Chaudhary V, Sakuja P.
Imaging of pancreatic serous cystadenocarcinoma.
Jpn J Radiol. 2011 Dec;29(10):730-4. Epub 2011 Oct 19.
http://www.ncbi.nlm.nih.gov/pubmed?term=Bano%20S%2C%20Upreti%20L%2C%20Puri%20SK%2C%20Chaudhary%20V%2C%20Sakuja%20P.%20Imaging%20of%20pancreatic%20serous%20cystadenocarcinoma.

Lahat G, Lubezky N, Haim MB, et al.
Cystic tumors of the pancreas: high malignant potential.
Isr Med Assoc J 2011 May;13(5):284-9.
http://www.ima.org.il/imaj/dynamic/web/ArtFromPubmed.asp?year=2011&month=05&page=284

King JC, Ng TT, White SC, Cortina G, Reber HA, Hines OJ.
Pancreatic serous cystadenocarcinoma: a case report and review of the literature.
J Gastrointest Surg. 2009 Oct;13(10):1864-8. Epub 2009 May 21. Review.
http://www.ncbi.nlm.nih.gov/pubmed/19459016

・腫瘍の大きさと部位と臨床所見との関連性
Khashab MA, Shin EJ, Amateau S, et al.

Tumor size and location correlate with behavior of pancreatic serous cystic neoplasms.

Am J Gastroenterol. 2011 Aug;106(8):1521-6. doi: 10.1038/ajg.2011.117. Epub 2011 Apr 5.

http://www.nature.com/ajg/journal/v106/n8/full/ajg2011117a.html

キー画像

膵頭部から鈎部に分葉状の低吸収域腫瘤を認める

膵実質相では強く濃染する充実様に見える部分と囊胞性部分が混在

充実部分にみえ、よく濃染していた部位はwash out されている

DWI では高信号信号を示す

腫瘤はかなり強い高信号を示す。ADC値=2.84×10-3mm2/s

MRCP 2D multislce 多数の小嚢胞から構成される

MRCP: Single thick slub  多数の小嚢胞で構成されているT2WI axial 　蜂巣状の囊胞性病変