Cynthia Lopes Pereira de Borborema MD , Julia Tagliaferri e Paletta MD , Eduardo O. Pacheco MD , Ulysses S. Torres MD, PhD , Giuseppe D’Ippolito MD, PhD
{"title":"超越普通:罕见和非典型壶腹周围病变的图像回顾。","authors":"Cynthia Lopes Pereira de Borborema MD , Julia Tagliaferri e Paletta MD , Eduardo O. Pacheco MD , Ulysses S. Torres MD, PhD , Giuseppe D’Ippolito MD, PhD","doi":"10.1053/j.sult.2025.04.009","DOIUrl":null,"url":null,"abstract":"<div><div>The periampullary region, defined as the area within 2 cm of the major papilla of the duodenum, is associated with various benign and malignant conditions. Although periampullary cancers are rare, they are the third leading cause of cancer-related deaths in the Western world. Tumors in this area often mimic benign lesions due to overlapping clinical presentations. Diagnostic imaging techniques, including computed tomography, magnetic resonance imaging, ultrasonography, and MR cholangiopancreatography, are commonly used in clinical practice and typically confirmed by pathological analysis. Therefore, evaluating imaging characteristics of rare and atypical periampullary conditions and classifying them into 4 categories (anatomical variations, tumors, inflammatory conditions, and miscellaneous disorders) can aid in the differential diagnosis and improve understanding of these lesions.</div></div>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":"46 3","pages":"Pages 189-203"},"PeriodicalIF":1.5000,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Beyond the Common: A Pictorial Review of Rare and Atypical Periampullary Lesions\",\"authors\":\"Cynthia Lopes Pereira de Borborema MD , Julia Tagliaferri e Paletta MD , Eduardo O. Pacheco MD , Ulysses S. Torres MD, PhD , Giuseppe D’Ippolito MD, PhD\",\"doi\":\"10.1053/j.sult.2025.04.009\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>The periampullary region, defined as the area within 2 cm of the major papilla of the duodenum, is associated with various benign and malignant conditions. Although periampullary cancers are rare, they are the third leading cause of cancer-related deaths in the Western world. Tumors in this area often mimic benign lesions due to overlapping clinical presentations. Diagnostic imaging techniques, including computed tomography, magnetic resonance imaging, ultrasonography, and MR cholangiopancreatography, are commonly used in clinical practice and typically confirmed by pathological analysis. Therefore, evaluating imaging characteristics of rare and atypical periampullary conditions and classifying them into 4 categories (anatomical variations, tumors, inflammatory conditions, and miscellaneous disorders) can aid in the differential diagnosis and improve understanding of these lesions.</div></div>\",\"PeriodicalId\":49541,\"journal\":{\"name\":\"Seminars in Ultrasound Ct and Mri\",\"volume\":\"46 3\",\"pages\":\"Pages 189-203\"},\"PeriodicalIF\":1.5000,\"publicationDate\":\"2025-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Seminars in Ultrasound Ct and Mri\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0887217125000174\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Seminars in Ultrasound Ct and Mri","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0887217125000174","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING","Score":null,"Total":0}
Beyond the Common: A Pictorial Review of Rare and Atypical Periampullary Lesions
The periampullary region, defined as the area within 2 cm of the major papilla of the duodenum, is associated with various benign and malignant conditions. Although periampullary cancers are rare, they are the third leading cause of cancer-related deaths in the Western world. Tumors in this area often mimic benign lesions due to overlapping clinical presentations. Diagnostic imaging techniques, including computed tomography, magnetic resonance imaging, ultrasonography, and MR cholangiopancreatography, are commonly used in clinical practice and typically confirmed by pathological analysis. Therefore, evaluating imaging characteristics of rare and atypical periampullary conditions and classifying them into 4 categories (anatomical variations, tumors, inflammatory conditions, and miscellaneous disorders) can aid in the differential diagnosis and improve understanding of these lesions.
期刊介绍:
Seminars in Ultrasound, CT and MRI is directed to all physicians involved in the performance and interpretation of ultrasound, computed tomography, and magnetic resonance imaging procedures. It is a timely source for the publication of new concepts and research findings directly applicable to day-to-day clinical practice. The articles describe the performance of various procedures together with the authors'' approach to problems of interpretation.