Presentation is loading. Please wait.

Presentation is loading. Please wait.

Innovations in macroscopic evaluation of pancreatic specimens and radiologic correlation  Charikleia Triantopoulou, Kleo Papaparaskeva, Christos Agalianos,

Published byCory Skinner Modified over 5 years ago

Similar presentations

Presentation on theme: "Innovations in macroscopic evaluation of pancreatic specimens and radiologic correlation  Charikleia Triantopoulou, Kleo Papaparaskeva, Christos Agalianos,"— Presentation transcript:

1 Innovations in macroscopic evaluation of pancreatic specimens and radiologic correlation 
Charikleia Triantopoulou, Kleo Papaparaskeva, Christos Agalianos, Christos Dervenis  European Journal of Radiology Open  Volume 3, Pages (January 2016) DOI: /j.ejro Copyright © Terms and Conditions

2 Fig. 1 Circumferential resection margins in a pancreatoduodenectomy specimen: anterior surface (red) (a), facing the SMV (green) (a), facing the SMA (yellow) (a,b) and posterior surface(blue) (b). (For interpretation of the references to color in this figure legend, the reader is referred to the web version of this article.) European Journal of Radiology Open 2016 3, 49-59DOI: ( /j.ejro ) Copyright © Terms and Conditions

3 Fig. 2 After axial slicing of a pancreatoduodenectomy specimen, the slices are arranged in sequential order. To allow optimal correlation with preoperative imaging, they are arranged from cranial to caudal. European Journal of Radiology Open 2016 3, 49-59DOI: ( /j.ejro ) Copyright © Terms and Conditions

4 Fig. 3 Radiologic-pathologic correlation of a hypovascular mass in the anterior aspect of the pancreatic head on contrast enhanced CT (yellow arrow). Cystic part of a solid tumor is also evident (blue arrow). (For interpretation of the references to color in this figure legend, the reader is referred to the web version of this article.) European Journal of Radiology Open 2016 3, 49-59DOI: ( /j.ejro ) Copyright © Terms and Conditions

5 Fig. 4 Radiologic-pathologic correlation of an isoattenuating pancreatic adenocarcinoma on contrast enhanced CT due to fibrosis. Dilated pancreatic duct (blue arrow) and common bile duct (yellow arrow) are also evident. (For interpretation of the references to color in this figure legend, the reader is referred to the web version of this article.) European Journal of Radiology Open 2016 3, 49-59DOI: ( /j.ejro ) Copyright © Terms and Conditions

6 Fig. 5 Radiologic pathologic correlation of a large exophytic and partially necrotic duodenal GIST adjacent to the pancreatic head that was intact and displaced. European Journal of Radiology Open 2016 3, 49-59DOI: ( /j.ejro ) Copyright © Terms and Conditions

7 Fig. 6 Tiny cystic areas inside a ductal adenocarcinoma are recognized and correlated on CT images and histopathology (blue arrows). (For interpretation of the references to color in this figure legend, the reader is referred to the web version of this article.) European Journal of Radiology Open 2016 3, 49-59DOI: ( /j.ejro ) Copyright © Terms and Conditions

8 Fig. 7 Microcystic serous adenoma: typical sponge-like appearance of a large microcystic lesion perfectly correlated on T2-w MR image and macroscopic evaluation. European Journal of Radiology Open 2016 3, 49-59DOI: ( /j.ejro ) Copyright © Terms and Conditions

9 Fig. 8 Macrocystic serous adenoma: the large cystic spaces and the thin septa are evident in this well-defined benign cystic lesion on contract enhanced CT and macroscopy. European Journal of Radiology Open 2016 3, 49-59DOI: ( /j.ejro ) Copyright © Terms and Conditions

10 Fig. 9 A mucinous cystic neoplasm is shown, presenting a fibrotic area (blue arrow) and no evidence of adenocarcinoma (a) in the macroscopic evaluation. Microscopically (b: H/EX200) an associated invasive carcinoma of less than 0.5cm in size behind the fibrotic area was revealed (yellow arrow). (For interpretation of the references to color in this figure legend, the reader is referred to the web version of this article.) European Journal of Radiology Open 2016 3, 49-59DOI: ( /j.ejro ) Copyright © Terms and Conditions

11 Fig. 10 MRI-pathologic correlation of a small hypervascular neuroendocrine tumor in the periampullary area. European Journal of Radiology Open 2016 3, 49-59DOI: ( /j.ejro ) Copyright © Terms and Conditions

12 Fig. 11 A rare pancreatic head hypervasccular paragaglioma showing marked heterogeneity was revealed in a patient suffering from Hirschsprung’s disease. European Journal of Radiology Open 2016 3, 49-59DOI: ( /j.ejro ) Copyright © Terms and Conditions

13 Fig. 12 Nice depiction and correlation of the duodenum (blue arrow), the markedly dilated CBD (red arrow) and the less dilated MPD (yellow arrow) (a). A very small ampullary adenocarcinoma was found that was missed by imaging (red arrow in b). (For interpretation of the references to color in this figure legend, the reader is referred to the web version of this article.) European Journal of Radiology Open 2016 3, 49-59DOI: ( /j.ejro ) Copyright © Terms and Conditions

14 Fig. 13 The fibrotic and hyperplastic ampulla was misinterpreted as a tumor on imaging (blue arrow in a). A small duodenal NETG1, just above the fibrotic ampulla, was revealed on histopathology (blue arrow in b). (For interpretation of the references to color in this figure legend, the reader is referred to the web version of this article.) European Journal of Radiology Open 2016 3, 49-59DOI: ( /j.ejro ) Copyright © Terms and Conditions

15 Fig. 14 A large periampullary tumor (blue arrow) together with an intraductal papillary mucinous neoplasm (IPMN) in the uncinate process (yellow arrow) is evident. (For interpretation of the references to color in this figure legend, the reader is referred to the web version of this article.) European Journal of Radiology Open 2016 3, 49-59DOI: ( /j.ejro ) Copyright © Terms and Conditions

16 Fig. 15 A misleading case of post inflammatory fibrosis presenting as markedly thickened wall of the distal common bile duct. European Journal of Radiology Open 2016 3, 49-59DOI: ( /j.ejro ) Copyright © Terms and Conditions

17 Fig. 16 A borderline resectable tumor on contrast enhanced CT before and after treatment (a). The radiologic-pathologic correlation of the specimen with evident post treatment changes adjacent to superior mesenteric artery (blue arrows in b). (For interpretation of the references to color in this figure legend, the reader is referred to the web version of this article.) European Journal of Radiology Open 2016 3, 49-59DOI: ( /j.ejro ) Copyright © Terms and Conditions

Download ppt "Innovations in macroscopic evaluation of pancreatic specimens and radiologic correlation  Charikleia Triantopoulou, Kleo Papaparaskeva, Christos Agalianos,"

Similar presentations

Department of Pathology

Department of Pathology
IVC What is this contrast containing structure posterior to the liver? The right, middle and left hepatic veins What are these contrast containing.

IVC What is this contrast containing structure posterior to the liver? The right, middle and left hepatic veins What are these contrast containing.
St. Mary’s A. Tubbs.  3.3cm cystic mass head of pancreas on CT  Chronic epigastric abdominal pain worsening over past year  CT abd/pelv 3mos ago consistent.

St. Mary’s A. Tubbs.  3.3cm cystic mass head of pancreas on CT  Chronic epigastric abdominal pain worsening over past year  CT abd/pelv 3mos ago consistent.
Intraductal Papillary Neoplasm of the Bile Duct: Multimodality Imaging Appearances and Pathological Correlation  Csilla Egri, BSc, MSc, Wan Wan Yap, MBChB,

Intraductal Papillary Neoplasm of the Bile Duct: Multimodality Imaging Appearances and Pathological Correlation  Csilla Egri, BSc, MSc, Wan Wan Yap, MBChB,
Fig. 14. Computed tomography (CT) and schema of transduodenal ampullectomy. A. Schema of transduodenal ampullectomy. Different resection margins between.

Fig. 14. Computed tomography (CT) and schema of transduodenal ampullectomy. A. Schema of transduodenal ampullectomy. Different resection margins between.
Pancreaticobiliary duct changes of periampullary carcinomas: Quantitative analysis at MR imaging  Dong Sheng Wu, Wei Xia Chen, Xiao Dong Wang, Riwaz Acharya,

Pancreaticobiliary duct changes of periampullary carcinomas: Quantitative analysis at MR imaging  Dong Sheng Wu, Wei Xia Chen, Xiao Dong Wang, Riwaz Acharya,
Pancreatic Tumors: Diagnostic Patterns by 3D Gradient-Echo Post Contrast Magnetic Resonance Imaging with Pathologic Correlation  Khaled M. Elsayes, MD,

Pancreatic Tumors: Diagnostic Patterns by 3D Gradient-Echo Post Contrast Magnetic Resonance Imaging with Pathologic Correlation  Khaled M. Elsayes, MD,
Imaging Spectrum of Cystic Pancreatic Lesions: Learn from Atypical Cases  Hiroyuki Irie, MD, Kengo Yoshimitsu, MD, Tsuyoshi Tajima, MD, Yoshiki Asayama,

Imaging Spectrum of Cystic Pancreatic Lesions: Learn from Atypical Cases  Hiroyuki Irie, MD, Kengo Yoshimitsu, MD, Tsuyoshi Tajima, MD, Yoshiki Asayama,
A Comparison of Hepatic Mucinous Cystic Neoplasms With Biliary Intraductal Papillary Neoplasms  Tao Li, Yuan Ji, Xu–Ting Zhi, Lu Wang, Xin–Rong Yang,

A Comparison of Hepatic Mucinous Cystic Neoplasms With Biliary Intraductal Papillary Neoplasms  Tao Li, Yuan Ji, Xu–Ting Zhi, Lu Wang, Xin–Rong Yang,
Intraoperative air leak test was useful for the detection of a small biliary fistula: A rare case of non-parasitic hepatic cysts with biliary communication 

Intraoperative air leak test was useful for the detection of a small biliary fistula: A rare case of non-parasitic hepatic cysts with biliary communication 
Volume 146, Issue 1, Pages e1 (January 2014)

Volume 146, Issue 1, Pages e1 (January 2014)
Diagnosis and Treatment of Cystic Pancreatic Tumors

Diagnosis and Treatment of Cystic Pancreatic Tumors
Fig. 1. (a) Axial portal phase contrast enhanced CT shows a cystic lesion with a thick wall in the portocaval space (arrows). An asterisk denotes the common.

Fig. 1. (a) Axial portal phase contrast enhanced CT shows a cystic lesion with a thick wall in the portocaval space (arrows). An asterisk denotes the common.
Combined resection of aberrant right hepatic artery without anastomosis in panceaticoduodenectomy for pancreatic head cancer: A case report  Atsushi Nanashima,

Combined resection of aberrant right hepatic artery without anastomosis in panceaticoduodenectomy for pancreatic head cancer: A case report  Atsushi Nanashima,
Improved Differentiation of Pancreatic Tumors Using Contrast-Enhanced Endoscopic Ultrasound  Christoph F. Dietrich, Andre Ignee, Barbara Braden, Ana Paula.

Improved Differentiation of Pancreatic Tumors Using Contrast-Enhanced Endoscopic Ultrasound  Christoph F. Dietrich, Andre Ignee, Barbara Braden, Ana Paula.
Magnetic resonance imaging of the small bowel

Magnetic resonance imaging of the small bowel
Volume 146, Issue 1, Pages e1 (January 2014)

Volume 146, Issue 1, Pages e1 (January 2014)
Desiree E. Morgan, John C. Texada, Cheri L. Canon, Mark E

Desiree E. Morgan, John C. Texada, Cheri L. Canon, Mark E
Magnetic resonance imaging of less common pancreatic malignancies and pancreatic tumors with malignant potential  D. Franz, I. Esposito, A.-C. Kapp, J.

Magnetic resonance imaging of less common pancreatic malignancies and pancreatic tumors with malignant potential  D. Franz, I. Esposito, A.-C. Kapp, J.
Biliary complications following orthotopic liver transplantation: May contrast-enhanced MR Cholangiography provide additional information?  Piero Boraschi,

Biliary complications following orthotopic liver transplantation: May contrast-enhanced MR Cholangiography provide additional information?  Piero Boraschi,

Similar presentations

Ads by Google