cysts of pancreas radiology

7/23/2019 Cysts of pancreas RADIOLOGY

1/20

M y} xim X~ d g r} g e xb nVlj m rnl} ; Id l` ij `l j h D l j l ` n d nj x

Mlxbnrijn N* Hnpb~r}x# DO OMb# OLG# ODnh]ml#Agnjrllh K* Dgrxncn# DHo#+

My}xim x~dgr} ge xbn vljmrnl} lrn l hiunr}n `rg~v

ge cn}igj} xblx ulry ergd onji`j xg vrndlci`jljx

xg erljacy dlci jljx njxixin}* Xbnrn bl} onnj

l ?6$egch ijmrnl}n ij xbn hnxnmxigj ge my}xim

vljmrnlxim cn}igj} ij xbn cl}x ynlr}# dg}x

jgxlocy oy mrg}}$}nmxigjlc dghlcixin} }~mb l}

mgdv~xnh xgdg rlvby "MX) ljh dl`jnxim rn}g$

jljmn "D_) idlìj`*< Xbn xr~n vrnulcnjmn ge

vljmrnlxim my}xim cn}igj} i} ~jajgpj o~x bl}

vrnuig~}cy onnj rnvgrxnh xg on ij xbn rlj`n ?*8.

xg .*>

@iunj xblx xbn vrnulcnjmn ge vljmrnlxim my}xim

cn}igj} i} ijmrnl}ij` onml~}n ge ijmrnl}nh hnxnm$

xigj oy mrg}}$}nmxigjlc idlìj`# ljh xblx dg}x

my}xim vljmrnlxim cn}igj} lrn jngvcl}xim# lmm~$

rlxn hil`jg}i} uil mcijimlc ijegrdlxigj# rlhigcgìmlc

idl`n}# ljh njhg}mgvim ~cxrl}g~jh "N^]) pixb

my}x ec~ih ljlcy}i} dly vcly lj idvgrxljx rgcn*52

Dg}x ge xbn}n cn}igj}# n}vnmilccy pbnj clr`n#

blun mblrlmxnri}xim idlìj` enlx~rn} lx rlhigcg`y#

ljh lmm~rlxn hieenrnjxilxigj onxpnnj xbnd i}

Hieenrnjxilc hil`jg}i} ge my}xim vljmrnlxim cn}igj}

Mgddgj

]nrg~} dimrgmy}xim vljmrnlxim lhnjgdl

D~mijg~} my}xim x~dgr

Ijxrlh~mxlc vlvicclry d~mijg~} jngvcl}d "IVDJ)

]gcih v}n~hgvlvicclry x~dgr "]VX)

^jmgddgj

My}xim njhgmrijn x~dgr

My}xim dnxl}xl}n} xg xbn vljmrnl}

My}xim xnrlxgdl ge xbn vljmrnl}

Vljmrnlxim cydvbljìgdl}'cydvbgnvixbncilc my}x ge xbn vljmrnl}

Xbn l~xbgr} blun jg mgjecimx} ge ijxnrn}x ljh jgxbij` xg hi}mcg}n*l Hiui}igj ge Lohgdijlc Idlìj` ljh D_I# Hnvlrxdnjx ge _lhigcg`y# Onxb I}rlnc Hnlmgjn}} Dnhimlc Mnjxnr#==6 Orggacijn Lunj~n# Og}xgj# DL 6?


2/20

idvgrxljx xg bncv `~ihn e~x~rn xrnlxdnjx ljh

dljl`ndnjx*9#


3/20

^cxrl}g~jh ge l }nrg~} dimrgmy}xim lhnjgdl

xyvimlccy hi}vcly} l pncc$mirm~d}mrionh# cgo~clxnh

cn}igj pixb hnmrnl}nh xbrg~`b$xrlj}di}}igj* Xbn

eiorg~} vgrxigj ge xbn cn}igj i} byvnrnmbgim#

pbnrnl} xbn my}xim vgrxigj} lrn byvgnmbgim* Ij

cn}igj} ij pbimb xbn my}x} lrn l enp diccidnxnr} ij

}i{n "dimrgmy}x})# xbn x~dgr mlj blun l }gcihlvvnlrljmn ml~}nh oy ijj~dnrlocn ijxnrelmn}*

Lrnl} ge mlcmieimlxigj lvvnlr byvnrnmbgim pixb

hnmrnl}nh xbrg~`b$xrlj}di}}igj ljh vg}xnrigr

lmg~}xim }blhgpij`*

Gj MX# }nrg~} dimrgmy}xim lhnjgdl} dg}x

mgddgjcy blun l cgo~clr }blvn*


4/20

cgo~clxnh my}xim pixb gr pixbg~x ijxnrjlc }nvxlxigj}*

Bgpnunr# lcxbg~`b xbn}n }x~hin} eg~jh enlx~rn}

xblx dly bncv xg hieenrnjxilxn xbn}n cn}igj}# hneijixn

hnxnrdijlxigj ol}nh gj rlhigcgìm mrixnril lcgjn

mljjgx on dlhn ij lcc ml}n}* Xbnrnegrn# my}x ec~ih

ljlcy}i} i} idvgrxljx ij dlaij` hi}xijmxigj} egr

xbi} `rg~v ge onji`j my}xim cn}igj}* Egr }nrg~} di$

mrgmy}xim lhnjgdl}# myxgcg`y i} vg}ixiun ij gjcy

?6. xg >6. ge ml}n} egr vnrighim lmih$]mbiee rnlm$

xigj# ljh myxganrlxij LN< ljh LN=* Bndg}ihnrij$

clhnj dlmrgvbl`n} lrn }nnj bi}xgcgìmlccy ij

8=. ge ml}n} ljh xbnrnegrn }xicc hg jgx vrguihn

Ei * =* ]nrg~} dimrgmy}xim lhnjgdl* "L) Bnluicy X?$pni bxnh idl`n ljh "O) mgrgjlc xpg$hidnj}igjlc "?H)dl`jnxim rn}gjljmn mbgcljìgvljmrnlxg`rlvby "D_MV) idl`n }bgp} l cgo~clxnh my}xim cn}igj ij xbn oghy gexbn vljmrnl} xblx i} vrnhgdijljxcy byvnrijxnj}n xg vljmrnlxim vlrnjmbydl pixb l}}gmilxnh xbij# eiorg~} }nvxl$xigj} xblx lrn byvgijxnj}n* Lexnr `lhgciji~d lhdiji}xrlxigj "M)# h~rij` xbn lrxnrilc vbl}n ge idlìj`# xbnrn i}njbljmndnjx ge xbn eiorg~} }nvxlxigj}*

Ei`* 8* ]nrg~} dlmrgmy}xim "gci`gmy}xim) lhnjgdl* "L) M~runh rnegrdlxxnh MX idl`n }bgp} l cgo~clxnh cn}igj xblxi} ~jicgm~clr# dnl}~rn} `rnlxnr xblj ? md# ljh }bgp} jg mlcmieimlxigj}# d~rlc jgh~cn}# gr mlv}~clr njbljmndnjx*"O) Njhg}mgvim rnxrg`rlhn mbgcljìgvljmrnlxg`rlvby "N_MV) ij xbn }ldn vlxinjx }bgp} nxnrjlc mgdvrn}}igj gexbn vljmrnlxim h~mx oy xbn my}xim dl}}* Xbn vlxinjx pnjx xg }~r`nry ljh vlxbgcg`y rnunlcnh l }nrg~} dlmrgmy}ximvljmrnlxim lhnjgdl*

Hnpb~r}x % Dgrxncn806


5/20

xbn bi`b hil`jg}xim lmm~rlmy jnmn}}lry egr hil`$

jg}i}*?8 Xbn oigmbndimlc ljlcy}i} ge xbn ec~ih

mgj}i}x} ge l cgp ldycl}n cnunc "3?>6 I^'C)# cgp

mlrmijgndorygjim ljxi nj "MNL) "3> j 'dC)#

ljh cgp mlrogbyhrlxn ljxi`nj


6/20

mgjxlijnh ljy ? ge xbn = enlx~rn} rlj`nh ergd >5.

xg 0=*2. hnvnjhij` gj pbimb ? enlx~rn} pnrn

vrn}njx* Gunrlcc# ~}ij` xbn}n enlx~rn} xg vrnhimx

dlci jljmy# rnlhnr} loicixy xg mgrrnmxcy mblrlm$xnri{n xbn cn}igj} vrgh~mnh 2 *2


7/20

Ij


8/20

lvvnlrljmn ge l vcngdgrvbim my}xim dl}} ij xbn

vljmrnl} xblx mgdd~jimlxn} pixb xbn dlij vlj$

mrnlxim h~mx* Ihnjxieyij` xbi} mgdd~jimlxigj i}

idvgrxljx# onml~}n gxbnr jngvcl}xim my}xim cn}igj}

}~mb l} d~mijg~} my}xim x~dgr}# }nrg~} dimrgmy}$

xim lhnjgdl}# ljh ]VX `njnrlccy hg jgx mgdd~ji$

mlxn pixb xbn vljmrnlxim h~mx*#89>?^cxrl}g~jh ge IVDJ} `njnrlccy hi}vcly} vlj$

mrnlxim h~mx hiclxlxigj ij xbn ml}n ge l dlij$

h~mx IVDJ# gr l pncc$mirm~d}mrionh vcngdgrvbim

my}xim dl}} ij xbn vljmrnl} ij xbn ml}n ge

l }ihn$orljmb IVDJ* ^cxrl}g~jh hgn} jgx `njnr$

lccy }bgp xbn mgdd~jimlxigj pixb xbn dlij$h~mx

ge }ihn$orljmb cn}igj}* Hnvnjhij` gj xbn }i{n

ljh mgdvg}ixigj ge xbn cn}igj# gxbnr eijhij`}

}~mb l} d~rlc jgh~cn}# d~mij `cgo~cn}# gr }nvxl$

xigj} dly on ui}~lci{nh* Bgpnunr# ~cxrl}g~jh

eijhij`} xnjh xg on jgj}vnmieim ljh xbn}n cn}igj}

xyvimlccy rn|~irn idlìj` pixb gxbnr dghlcixin} egr

e~rxbnr nulc~lxigj*

Gj MX# l }ihn$orljmb IVDJ lvvnlr} dg}x

mgddgjcy l} l byvghnj}n# vcngdgrvbim cn}igj

ij mcg}n vrgidixy xg xbn vljmrnlxim h~mx*>= Xbn

mcl}}im cgmlxigj i} ij xbn ~jmijlxn vrgmn}}* Xbn

dlij vljmrnlxim h~mx i} ~}~lccy jgx hiclxnh* Xbn

mgdd~jimlxigj onxpnnj xbn cn}igj ljh xbn h~mx

i} on}x }bgpj ~}ij` m~runh vcljlr rnegrdlxxnh

idl`n}# ljh ~}~lccy i} jgx }nnj gj lilc idlìj`

lcgjn* Xbn dlij vljmrnlxim h~mx cn}igj} lrn xyvi$

einh oy hiee~}n gr }n`dnjxlc hiclxlxigj ge xbn h~mx

"Ei`}* 2 ljh 9)* L hi}mrnxn cn}igj dly gr dly jgx

on ui}~lci{nh* Njbljmndnjx i} `njnrlccy gjcy

lvvrnmilxnh ij cn}igj} mgjxlijij` jgh~clr egmi* L}$}n}}ij` egr njbljmndnjx i} on}x vnregrdnh oy

mgdvlrij` xbn Bg~j}einch ~jix "B^) hnj}ixin} ge

xbn cn}igj onegrn ljh lexnr ighijlxnh mgjxrl}x

lhdiji}xrlxigj xg hieenrnjxilxn d~mij `cgo~cn}#

pbimb lrn jgjnjbljmij`# ergd }gcih x~dgr# pbimb

njbljmn}*

Dl`jnxim rn}gjljmn mbgcljìgvljmrnlxg`rlvby

"D_MV) bl} xbn loicixy xg vrguihn jgjijul}iun#

d~cxivcljlr idl ij` ge xbn vljmrnlxim h~mxlc

}y}xnd# ljh bl} }idiclr lmm~rlmy xg njhg}mgvim

rnxrg`rlhn mbgcljìgvljmrnlxg`rlvby "N_MV) ij

ihnjxieyij` my}xim cn}igj}*>8 Lrlalpl ljh mgc$

cnl`~n}>= lc}g }bgpnh xblx eijhij`} dlhn gj

D_MV mgrrnclxn pixb eijhij`} lx bi}xgvlxbgcg`y*

Xbn dlij vljmrnlxim h~mx cn}igj} lrn xyvieinh oy

hiclxlxigj ge xbn njxirn h~mx "}nn Ei`* 2)* L hi}mrnxn

cn}igj dly gr dly jgx on ui}~lci{nh ij xbn}n

vlxinjx}* Xbnrnegrn# dlij$h~mx IVDJ }bg~ch on

njxnrxlijnh ij xbn hieenrnjxilc ge vlxinjx} pixb

Ei`* 2* IVDJ* Mgjxrl}x$njbljmnh MX idl`n "L) }bgp} vljmrnlxim h~mxlc hiclxlxigj ij xbn rnìgj ge xbn oghy ljhxlic ge xbn vljmrnl} pixb ijxrlh~mxlc }gex xi}}~n jgh~cn}* D_MV idl`n "O) mgjeird} }n`dnjxlc hiclxlxigj ge vljmrn$lxim h~mx* Hi}xlc vljmrnlxnmxgdy "M) }bgp} ijul}iun mlrmijgdl lri}ij` ij mgdoijnh$h~mx IVDJ*

Hnpb~r}x % Dgrxncn808


9/20

l hiclxnh vljmrnlxim h~mx pixbg~x l ui}iocn go$

}xr~mxij` cn}igj gr }xnjg}i}# lcgj` pixb ldv~cclry

hy}e~jmxigj* Ij xbn}n ml}n}# lj D_MV pixb

}nmrnxij ijknmxigj gr N_MV dly on bncve~c egr

e~rxbnr l}}n}}dnjx*

]ihn$orljmb cn}igj} lrn vcngdgrvbim ljh lrn

byvnrijxnj}n xg vljmrnlxim vlrnjmbydl gj X?$

pni`bxnh idl ij` ljh byvgijxnj}n gj X


10/20

oicn h~mx hiclxlxigj# xbima }nvxlxigj}# ljh'gr d~rlc

jgh~cn}*82#>=#>>>0 Lx xbi} xidn# rlhigcgìm }x~hin}

blun jgx cnh xg mcnlrcy hneijnh mrixnril xblx rncilocy

n}xloci}b xbn vrn}njmn ge dlci`jljmy# ljh# nunj ij

lrnl} ge l`rnndnjx onxpnnj }x~hin}# hieenrnjmn}

ij xbrn}bgch ulc~n} gr xbn vgpnr ge l eijhij` xg

vrnhimx dlci`jljx hi}nl}n i} jgx pncc n}xloci}bnh*

Ix i} vrgolocy dg}x bncve~c xg blun lj lplrnjn}}

ge eijhij`} xblx blun onnj hn}mrionh ij dlci`jljx

hi}nl}n# o~x jgx xg rncy xgg bnluicy gj ljy }ij`cn#}vnmieim elmxgr ij vrnhimxij` xbn dlci`jljmy ge

l cn}igj* Ij `njnrlc# dlij$h~mx cn}igj} pixb l hild$

nxnr `rnlxnr xblj < md lrn ciancy xg on dlci`jljx#

pbnrnl} dg}x }ihn$orljmb cn}igj} cn}} xblj = md

lrn ciancy onji`j*

IVDJ my}x ec~ih ljlcy}i} i} vg}ixiun egr lmih$

]mbiee rnlmxigj ij 56. ml}n} ljh egr lcmilj oc~n

ljh d~mimlrdijn# k~}x cian d~mijg~} my}xim x~$

dgr}* Bgpnunr# IVDJ} blun l bi`b ldycl}n cnunc

":?6#666 ^'dC) onml~}n xbny mgdd~jimlxn pixb

xbn vljmrnlxim h~mx# l bi b MNL cnunc ":?66j 'dC)# ljh l bi b ML 0?*8 ":86 ^'dC) pbnj

dlci`jljx*>0

Xrnlxdnjx ge IVDJ# n}vnmilccy cn}igj} ijugcuij`

xbn dlij vljmrnlxim h~mx# i} }~rìmlc rn}nmxigj*

Vrngvnrlxiun idlìj` mlj ogxb gunrn}xidlxn ljh

~jhnrn}xidlxn xbn hn`rnn ge ijugcundnjx ge xbn

h~mxlc }y}xnd# ljh }~r`ngj} }bg~ch on lplrn ge

xbi} vixelcc ljh on rnlhy xg dghiey xbn rn}nmxigj

vclj h~rij` }~r`nry xg nj}~rn jn`lxiun dlrìj}*

Ij ml}n} ge ijul}iun hi}nl}n# rnìgjlc cydvb jghn

hi}}nmxigj i} lc}g vnregrdnh* Xbn xrnlxdnjx ge

}ihn$orljmb cn}igj} pixbg~x dlci jljx enlx~rn}i} mgjxrgunr}ilc# n}vnmilccy l}ydvxgdlxim cn}igj}

ij xbn nchnrcy gr ijeird# pixb ijmrnl}ij` j~donr}

ge vlxinjx} ~jhnr`gij` }nrilc idlìj` pixbg~x }~r$

ìmlc ijxnrunjxigj ij xbn nunjx ge }xlocn idlìj`

eijhij`}# n}vnmilccy ie xbn cn}igj i} cn}} xblj = md

ij }i{n*

]VX

]VX# egrdnrcy ajgpj l} }gcih ljh vlvicclry nvixbn$

cilc jngvcl}d "]VNJ)# i} l rlrn vljmrnlxim x~$

dgr pixb cn}} xblj 2 ]VX gmm~r} lcdg}x nmc~}iuncy ij

pgdnj "2>.)# pixb dg}x onij` eg~jh ij yg~j`nrpgdnj "dnlj l`n ?> ynlr}1 l`n rlj`n 250

ynlr})*>9 Xb~}# xbn xnrd hl~`bxnr cn}igj bl} onnj

mgijnh xg hn}mrion ix ldgj` xbn my}xim vljmrnlxim

x~dgr}* Lcxbg~`b }gdn ml}n }nrin} blun rnvgrxnh

xblx ]VX i} dg}x mgddgjcy cgmlxnh ij xbn xlic ge

xbn vljmrnl} ljh ij vlxinjx} ge Lerimlj ljh L}ilj

hn}mnjx#565? gxbnr }nrin} blun jgx mgjeirdnh

xbn}n eijhij`}*5= Xbn vlxbg`njn}i} ge ]VX i}

~jmnrxlij# o~x lojgrdlcixin} ij vridgrhilc vljmrn$

lxim }xnd mncc} blun onnj idvcimlxnh l} xbn dg}x

ciancy }g~rmn onml~}n ge xbn clma ge njhgmrijn grngmrijn hieenrnjxilxigj ge xbn x~dgr*

]VX i} ~}~lccy l onji j gr l cgp$`rlhn dlci jljx

x~dgr* Xbn x~dgr i} `njnrlccy l}ydvxgdlxim ljh#

xbnrnegrn# ijmihnjxlccy hi}mgunrnh ij dg}x ml}n}*

Bgpnunr# pbnj ix `rgp} xg l }~eeiminjx }i{n# ix dly

ml~}n }ydvxgd} rnclxnh xg nxrij}im mgdvrn}}igj

gj }~rrg~jhij` }xr~mx~rn}* Ix i} ~}~lccy }gcixlry

ljh clr`n lx vrn}njxlxigj pixb lj lunrl`n }i{n ge

9*= md*58 ]VX xnjh} xg hi}vclmn }~rrg~jhij`

un}}nc} ljh gr`lj} rlxbnr xblj ijulhn xbnd# ljh

gjcy rlrncy bl} njml}ndnjx ge un}}nc} ljh ijugcun$

dnjx ge xbn dn}njxnry onnj hn}mrionh*5= _lrncy#hi}}ndijlxigj bl} onnj hn}mrionh ljh# ie vrn}njx#

i} dg}x mgddgjcy xg xbn ciunr* Eiexnnj vnrmnjx ge

ml}n} lrn hil`jg}nh l} }gcih v}n~hgvlvicclry

mlrmijgdl* Xbn}n x~dgr} lrn ~}~lccy clr`nr xblj

Ei`*


11/20

> md # lrn dgrn mgddgjcy }nnj ij dnj# ljh lrn

l}}gmilxnh pixb ul}m~clr ijul}igj ljh dnxl}xlxim

hi}nl}n*

Bgpnunr ie hil`jg}nh ljh rn}nmxnh xbny blun

l >$ynlr }~ruiulc ge 95.*58

^cxrl}g~jh i} `njnrlccy jgx bncve~c ij hieenrnjxi$

lxij` lj ]VX ergd gxbnr xyvn} ge my}xim vljmrnlxim

cn}igj}* Ij ml}n} ij pbimb vlxinjx} ~jhnrpnjx

}gjg`rlvby# xbn vrn}njmn ge l clr n# hiee~}ncy

nmbg`njim# gr mgdvcn dl}} xblx i} pncc mirm~d$

}mrionh ij xbn ~vvnr lohgdnj pl} hn}mrionh#

pixb gr pixbg~x xbrg~`b$xrlj}di}}igj hnvnjhij`

gj xbn mgdvg}ixigj ge xbn x~dgr# o~x eijhij`}

}~``n}xij` l hneijixiun hil`jg}i} pnrn jgx `nj$

nrlccy dlhn# ljh e~rxbnr idl ij` pl} ~}~lccy

rn|~irnh*5$ynlr }~ruiulc ge 95.*

^JMGDDGJ MY]XIM VLJM_NLXIM X^DG_]My}xim Njhgmrijn X~dgr}

Njhgmrijn x~dgr} ge xbn vljmrnl} gri`ijlxn ergd

xbn i}cnx mncc} ge xbn vljmrnl}* L} l `rg~v# xbny

lrn rlrn# gmm~rrij` lx l rlxn ge < ml}n vnr diccigj

vngvcn vnr ynlr*50#52 Xbny lrn hiuihnh ijxg ? dlij

`rg~v}; }yjhrgdim "lc}g xnrdnh byvnre~jmxigjij`)

ljh jgj}yjhrgdim "lc}g xnrdnh jgjbyvnre~jmxigj$ij`)*59Xbnmy}xim njhgmrijncn}igj} xnjh xg on clr nr

xblj xbn }gcih cn}igj} "2*8 md u} ?*9 md# rn}vnm$

xiuncy)*06 Xbny xnjh xg on jgj}yjhrgdim "58.)

ljh# ge xbg}n xblx pnrn }yjhrgdim# dg}x xnjhnh

xg on ge xbn jgjij}~cij$vrgh~mij` ulrinxin}*06

]nunjxy$eiun vnrmnjx ge xbn}n gmm~r }vgrlhimlccy

ij xbn vgv~clxigj o~x xbn rndlijhnr "?>.) lrn l}}g$

milxnh pixb d~cxivcn njhgmrijn jngvcl}il "DNJ)

xyvn


13/20

vnrivbnrlc rid ge xi}}~n xnjh} xg lvvnlr cn}}

~jiegrd ljh dgrn irrn`~clr xblj ij cn}igj} ij pbimb

xbnrn i} my}xim hn`njnrlxigj*

Gj D_ idl`ij`# xbn vnrivbnrlc rid ge xi}}~n bl}

l }idiclr }i`jlc ijxnj}ixy vlxxnrj xg l }gcih njhg$

mrijn x~dgr# mcl}}imlccy hn}mrionh l} dghnrlxncy

byvnrijxnj}n xg vljmrnlxim vlrnjmbydl gj elx$

}lx~rlxnh X?$pni`bxnh idl`n}# ljh byvgijxnj}n

gj elx$}lx~rlxnh X


14/20

ogxb vrnhgdijljxcy nmbg`njim09ljh byvgnmbg`nj$

im*26 Xbi} i} ciancy onml~}n ge xbn ulrilocn ldg~jx ge

elx ljh }no~d xblx dly on eg~jh ij hieenrnjx xyvn}ge cn}igj}* Cn}igj} mgjxlijij` ogjn gr xggxb

ncndnjx} lc}g blun lrnl} ge lmg~}xim }blhgpij`*09

Gj MX# xnrlxgdl} blun lc}g onnj hn}mrionh l}

pncc hneijnh*26 Xbn cn}igj} lrn ulrilocn ij lvvnlr$

ljmn; cgp lxxnj~lxigj# d~cxicgm~clr# ljh my}xim#26

}gex xi}}~n pixb elx ncndnjx} ljh vnrivbnrlc mlcmiei$

mlxigj#09 gr v~rncy }gex xi}}~n*26 Bnxnrg`njng~}

njbljmndnjx lexnr mgjxrl}x bl} onnj rnvgrxnh*09

]nunrlc ml}n rnvgrx} jgxnh xblx# lcxbg~`b xbn

dl}} lo~xxnh ul}m~clr }xr~mx~rn} gr xbn oicilry gr

vljmrnlxim h~mx}# xbnrn pl} jg nuihnjmn ge ijul$

}igj gr go}xr~mxigj ge xbn}n }xr~mx~rn}*09#26

]xrl}}nr ljh mgccnl`~n}00 hn}mrionh xbn lvvnlr$

ljmn ge xnrlxgdl} gj D_ idl`ij` l} byvnrijxnj}n

xg vljmrnlxim vlrnjmbydl ljh pncc hneijnh gj X?$

pni bxnh idl`ij`# pixb lrnl} ge cg}} ge }i`jlc

Ei`* * Lilc mgjxrl}x$njbljmnh MX ge xbn vljmrnl}}bgp} l my}xim dl}} cn}igj ij xbn xlic ge xbn vljmrnl}*Xbn mnjxrlc jnmrgxim mgdvgjnjx ge xbn x~dgr hgn}jgx njbljmn* Ix i} l }gcixlry cn}igj* Eijhij`} lxvlxbgcg`y pnrn mgj}i}xnjx pixb dnxl}xl}i} ergd xbnvlxinjx} }gex xi}}~n }lrmgdl*

Ei`*


15/20

ijxnj}ixy gj elx$}lx~rlxnh }n|~njmn} mgj}i}xnjx

pixb o~ca elx* Xbny mlj blun bnxnrg`njng~} }i`jlc

ijxnj}ixy gj X


16/20

gj X


17/20

egccgp$~v vrgxgmgc pixbg~x `lhgciji~d dly on

~}nh* MX i} jgx `njnrlccy ~}nh egr egccgp$~v

onml~}n ge rlhilxigj mgj}ihnrlxigj* ^cxrl}g~jh

"^])# lcxbg~`b ijnvnj}iun# ri}a ernn# ljh pihncy

luliclocn# i} xyvimlccy jgx ~}nh rg~xijncy egr }dlccnr

cn}igj} gr cn}igj} cgmlxnh dgrn hi}xlccy ij xbn oghy

gr xbn xlic ge xbn vljmrnl} onml~}n xbn}n rnìgj}

onmgdn go}m~rnh oy gunrcyij` ogpnc `l}* Dgrn$

gunr# xbny dly on hieeim~cx xg ui}~lci{n onml~}n ge

vlxinjx oghy bloix~}# ljh ^] i} gvnrlxgr hnvnj$

hnjx* D_ idl ij` bl} onnj }bgpj xg on xbn

dg}x mgj}i}xnjx idlìj` dghlcixy egr egccgp$~v ge

xbn}n cn}igj}*9? Xlocn < ci}x} `~ihncijn} xblx mlj

on ~}nh egr xbn egccgp$~v ge egmlc my}xim vljmrnlxim

cn}igj}# xlaij` ijxg lmmg~jx cn}igj }i{n* Pbnj xbncn}igj} }i{n gr lvvnlrljmn mblj`n}# xbn cn}igj

bl} xg on rnmlxn`gri{nh pixbij xbn vrguihnh lc$

`grixbd* Ie vlxinjx} lrn jgx }~r imlc mljhihlxn}

"n`# onml~}n ge lhuljmnh l`n gr mgdgroihixin})#

egccgpij` xbnir my}xim vljmrnlxim cn}igj} bl} dij$

idlc onjneix}*

]^DDL_Y

My}xim x~dgr} ge xbn vljmrnl} rnvrn}njx l hiunr}n

`rg~v ge vljmrnlxim cn}igj}# dljy ge pbimb blun

}vnmieim idlìj` eijhij`} xblx lccgp xbnd xg onhieenrnjxilxnh* Lmm~rlxn l}}n}}dnjx ge xbn}n cn$

}igj} pixb ^]# MX# gr D_ idlìj` i} idvgrxljx

ogxb xg bncv `~ihn xrnlxdnjx ljh vrnunjx ~jjnm$

n}}lry }~r imlc ijxnrunjxigj}* Lj lmm~rlxn vrn$

gvnrlxiun hil`jg}i} mlj rg~xijncy on lmbinunh

pixb l mgdoijlxigj ge idl ij` ljh N^] pixb

gr pixbg~x EJL* Lcxbg~`b nlmx `~ihncijn} egr

dljl`ndnjx ljh egccgp$~v ge ijmihnjxlc ljh

}ydvxgdlxim my}xim cn}igj} ij xbn vljmrnl} ulry

pihncy ergd ij}xix~xigj xg ij}xix~xigj# oy ~jhnr$

}xljhij` xbn vlxbgcg`y ljh mcijimlc mg~r}n gexbn}n cn}igj}# gjcy cn}igj} pixb xr~n dlci`jljx

vgxnjxilc }bg~ch on rn}nmxnh gpij` xg xbn mgj}ih$

nrlocn dgroihixy ljh dgrxlcixy l}}gmilxnh pixb

vljmrnlxim }~r`nry*

_NEN_NJMN]


18/20

* v* );5*

??* ]lbji UL# Dgrxncn AK* Xbn ocgghy vljmrnl}; DHMX

ljh D_I enlx~rn} ge byvnrul}m~clr ljh bndgrrbl`im

vljmrnlxim mgjhixigj}* LK_ Ld K _gnjx`njgc ?6691

*

?=* Dgxxgcl KM# ]lbji UL# Nrx~ra ]D# nx lc* Hiee~}igj$pni bxnh D_I ge egmlc my}xim vljmrnlxim cn}igj}

lx =*6$Xn}cl; vrncidijlry rn}~cx}* Lohgd Idl`ij`

?6


19/20

8>* Gbl}bi A# D~rlaldi Y# Dlr~yldl D* Eg~r ml}n} ge

d~mij vrgh~mij` mljmnr ge xbn vljmrnl} gj }vnmieim

eijhij`} ge xbn ldv~ccl ge Ulxnr* Vrg` Hi` Njhg}m

6* ]lagrlel} @B# ]dyrjigxi} U# _nih$Cgdolrhg AD#

nx lc* Vridlry vljmrnlxim my}xim jngvcl}d} rnui}ixnh*

Vlrx III* Ijxrlh~mxlc vlvicclry d~mijg~} jngvcl}d}*

]~r` Gjmgc ?6058*>?* Bijx{n _N# Lhcnr L# Uncx{an P# nx lc* Mcijimlc

}i`jieimljmn ge dl`jnxim rn}gjljmn mbgclj ig$

vljmrnlxg`rlvby "D_MV) mgdvlrnh xg njhg}mgvim

rnxrg rlhn mbgclj ig$vljmrnlxg`rlvby "N_MV)*

Njhg}mgvy 8* Alpldgxg ]# Clpcnr CV# Bgrxgj AD# nx lc* DHMX ge

ijxrlh~mxlc vlvicclry d~mijg~} jngvcl}d ge xbn

vljmrnl}; nulc~lxigj ge enlx~rn} vrnhimxiun ge ijul$

}iun mlrmijgdl* LK_ Ld K _gnjx`njgc ?6651

);

5* Mbgi O]# Aid XA# Aid LY# nx lc* Hieenrnjxilc hil`jg}i}

ge onji j ljh dlci jljx ijxrlh~mxlc vlvicclry

d~mijg~} x~dgr} ge xbn vljmrnl}; D_ mbgclj ig$

vljmrnlxg`rlvby ljh D_ lj`ig rlvby* Agrnlj K_lhigc ?66=18"=);05?*

>0* Dlirn E# Ugixgx B# L~onrx L# nx lc* Ijxrl$h~mxlc vlvic$

clry d~mijg~} jngvcl}d} ge xbn vljmrnl}; vnregr$

dljmn ge vljmrnlxim ec~ih ljlcy}i} egr vg}ixiun

hil`jg}i} ljh xbn vrnhimxigj ge dlci`jljmy* LK_

Ld K _gnjx`njgc ?66215006*

50* Imbialpl X# Vnxnr}gj D]# Enhnrcn DV# nx lc* I}cnx mncc

x~dgr ge xbn vljmrnl}; oivbl}im MX unr}~} D_

idl`ij` ij x~dgr hnxnmxigj* _lhigcg`y ?6661?);


20/20

0?* Bnrpima ]# Diccnr EB# Anvvan LC* D_I ge i}cnx mncc

x~dgr} ge xbn vljmrnl}* LK_ Ld K _gnjx`njgc

?6651

cysts of pancreas radiology

Documents