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Vol. 60. Issue 1.
Pages 10-23 (January - February 2018)
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Vol. 60. Issue 1.
Pages 10-23 (January - February 2018)
Update in Radiology
DOI: 10.1016/j.rxeng.2017.08.003
Staging pancreatic carcinoma by computed tomography
Estadificación mediante tomografía computarizada del carcinoma de páncreas
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I. Montejo Gañán
Corresponding author
imamontejo@hotmail.com

Corresponding author.
, L.F. Ángel Ríos, L. Sarría Octavio de Toledo, M.E. Martínez Mombila, L.H. Ros Mendoza
Servicio de Radiodiagnóstico, Hospital Universitario Miguel Servet, Zaragoza, Spain
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Table 1. Example of standard protocol of multidetector computed tomography for the assessment of pancreatic ductal adenocarcinoma.
Table 2. Vascular assessment: arterial and venous.
Table 3. Local and distant assessment.
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Abstract

Pancreatic carcinoma is becoming more common in our environment; the mortality rate for this tumor has barely changed over the last 20 years.

Early diagnosis and accurate staging are crucial to ensure an appropriate therapeutic approach, which should aim to improve survival in patients in whom complete resection is possible and to minimize surgical morbidity and mortality in those with a high risk of residual disease after the intervention.

Various imaging techniques are used for tumor staging: multidetector computed tomography (CT), magnetic resonance imaging, positron emission tomography (PET)-CT, endoscopic ultrasound, and diagnostic laparoscopy. Currently, multidetector CT is the technique of choice for the study of pancreatic tumors; thus, this article aims to review the state of the art in staging adenocarcinoma of the pancreas, focusing mainly on the applications and limitations of this technique.

Keywords:
Pancreatic adenocarcinoma
Staging
Multidetector CT
Resumen

El carcinoma de páncreas es una neoplasia cada vez más frecuente en nuestro medio, y su elevada tasa de mortalidad apenas ha variado en las dos últimas décadas.

Un diagnóstico inicial precoz y una estadificación precisa son primordiales para desarrollar una correcta actitud terapéutica, con el fin de mejorar la supervivencia en aquellos pacientes en los que la resección completa es posible y minimizar la morbimortalidad quirúrgica en pacientes con alto riesgo de enfermedad residual tras la intervención.

Existen diversas técnicas de imagen implicadas en la estadificación tumoral: la tomografía computarizada multidetector, la resonancia magnética, la PET-TC, la ecoendoscopia y la laparoscopia diagnóstica. Actualmente, la tomografía computarizada multidetector es la técnica de elección para el estudio de este tipo de neoplasias. Por ello, el propósito de este artículo es revisar el estado actual de la estadificación del adenocarcinoma de páncreas, basándose principalmente en las aplicaciones y limitaciones de esta técnica.

Palabras clave:
Adenocarcinoma pancreático
Estadificación
TC multidetector

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