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World J Gastrointest Oncol. Sep 15, 2014; 6(9): 330-343
Published online Sep 15, 2014. doi: 10.4251/wjgo.v6.i9.330
Radiology of pancreatic neoplasms: An update
Luis Gijón de la Santa, José Antonio Pérez Retortillo, Ainhoa Camarero Miguel, Lea Marie Klein
Luis Gijón de la Santa, José Antonio Pérez Retortillo, Ainhoa Camarero Miguel, Lea Marie Klein, Department of Radiology, Guadalajara University Hospital, University of Alcalá, 19002 Guadalajara, Spain
Author contributions: Gijón de la Santa L designed research; Klein LM is a native speaker of English and revised the manuscript; Gijón de la Santa L, Pérez Retortillo JA were responsible for literature search and picture selection; Camarero Miguel A, Klein LM contributed to the literature review; all authors have contributed to the performed research and wrote the paper.
Correspondence to: Luis Gijón de la Santa, MD, Department of Radiology, Guadalajara University Hospital, University of Alcalá, Donantes de Sangre st, 19002 Guadalajara, Spain. lgijon@sescam.jccm.es
Telephone: +34-949-209200 Fax: +34-949-209218
Received: August 8, 2013
Revised: October 8, 2013
Accepted: December 12, 2013
Published online: September 15, 2014
Abstract

Diagnostic imaging is an important tool to evaluate pancreatic neoplasms. We describe the imaging features of pancreatic malignancies and their benign mimics. Accurate detection and staging are essential for ensuring appropriate selection of patients who will benefit from surgery and for preventing unnecessary surgeries in patients with unresectable disease. Ultrasound, multidetector computed tomography with multiplanar reconstruction and magnetic resonance imaging can help to do a correct diagnosis. Radiologists should be aware of the wide variety of anatomic variants and pathologic conditions that may mimic pancreatic neoplasms. The knowledge of the most important characteristic key findings may facilitate the right diagnosis.

Keywords: Pancreas, cancer, Radiology, Computed tomography, Magnetic resonance imaging, Surgery, Pancreatic neoplasms

Core tip: Diagnostic imaging is an important tool to evaluate pancreatic neoplasms. We describe and illustrate the imaging features and key findings of pancreatic malignancies and their mimics. The knowledge of radiologic findings is relevant to do an accurate diagnosis that allows a proper management and should be known not only for radiologists but by physicians that comprise multidisciplinary teams.