良性胆道疾病与恶性病变的风险增加
Christopher L Welle1, Rachita Khot2, Sudhakar K Venkatesh3
1Mayo Clinic, Rochester, USA. welle.christopher@mayo.edu.
Abdominal radiology (New York)
|October 21, 2024
概括
良性胆道疾病可以增加患上严重癌症的风险,如胆管癌和肝细胞癌. 本综述有助于临床医生在胆道系统成像中识别这些风险和相关的恶性瘤.
科学领域:
- 肝胆管放射学 肝胆管放射学
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
背景情况:
- 胆道系统病理很常见,许多人有良性病程.
- 良性胆道疾病可以矛盾地增加恶性转变的风险.
- 恶性瘤可能来自异常的胆管 (例如胆管癌) 或末期肝病 (例如肝细胞癌).
研究的目的:
- 为了审查良性胆道病理.
- 讨论它们的流行病学,成像特征和恶性潜力.
- 为了教育放射科医生和临床医生在识别相关的肝胆恶性瘤.
主要方法:
- 对良性胆道病理学的文献综述.
- 分析与恶性瘤相关的成像特征.
- 讨论流行病学数据和治疗考虑.
主要成果:
- 某些良性胆道疾病与胆管癌和肝细胞癌的风险增加有关.
- 在成像上,区分恶性瘤与良性胆道疾病可能是具有挑战性的.
- 了解成像发现对于早期检测至关重要.
结论:
- 放射科医生和临床医生必须意识到良性胆道疾病的恶性潜力.
- 对成像的全面评估对于识别恶性瘤的微妙迹象至关重要.
- 早期检测和适当的管理是改善患者结果的关键.
相关概念视频
Diseases of the Liver and Gallbladder
483
Liver and gallbladder diseases are a significant health concern, with prominent conditions including cirrhosis, hepatitis, non-alcoholic fatty liver disease (NAFLD), and gallstones. Jaundice is a common manifestation of liver and biliary disease.
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not...
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not...
483
Chronic Bowel Disorders: Introduction
394
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
394
Chronic Pancreatitis I: Introduction
74
The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
74
Acute Pancreatitis II: Clinical Manifestations and Management
93
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
93
Barrett Esophagus-I: Introduction
70
Barrett's esophagus is a medical condition where the esophageal mucosa is significantly damaged by stomach acid or other digestive fluids, often due to long-term exposure associated with gastroesophageal reflux disease (GERD). In GERD, a weakened or abnormally relaxed lower esophageal sphincter allows stomach acid to flow persistently into the esophagus.
This constant acid exposure transforms the esophagus's pink mucosal lining (stratified squamous epithelium) into a type of lining more...
This constant acid exposure transforms the esophagus's pink mucosal lining (stratified squamous epithelium) into a type of lining more...
70
Inflammatory Bowel Disease I: Ulcerative Colitis
146
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
146


