Pancreas Ssrr Tc

8/19/2019 Pancreas Ssrr Tc

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PATOLOGÍA PANCREÁTICA YSUPRARRENAL POR

TOMOGRAFÍA COMPUTARIZADA

Daniel Retamal Zúñiga

Inten! Te"n!l!g#a M$%i"a


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O46eti5!+

( I%enti/i"a la+ )in"i)ale+ )at!l!g#a+ %el )*n"ea+ 0 %e la+gl*n%&la+ +&)aenale+3

( Re"!n!"e +&+ "aa"te#+ti"a+ en t!m!ga/#a"!m)&tai1a%a3


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P*n"ea+ Anat!m#a n!mal


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P*n"ea+T$"ni"a en TC

( E+t&%i! %e a4%!men3

( Ca&%al %e 7 a 8 ml9+

( Fa+e )an"e*ti"a 0 5en!+a3


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Pat!l!g#a+

Pan"eatiti+

ag&%a

Pan"eatiti+"'ni"a

A%en!"a"in!ma%e )*n"ea+


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Pan"eatiti+ ag&%a

( En/eme%a% in/lamat!ia .&e "!m)!mete te6i%!+ 5e"in!+0 a %i+tan"ia3

( A"ti5a"i'n ina)!)ia%a %e en1ima+ )an"e*ti"a+ .&e%igieen el te6i%! )an"e*ti"!3

( Rela"i!na%! a la "!le%!"!litia+i+ 0 el a4&+! %el al"!2!l3


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Pan"eatiti+ ag&%aC&a%! "l#ni"!

( D!l! a4%!minal inten+!

( Na&+ea+ 0 5'mit!+

( Ta.&i"a%ia- 2i)!ten+i'n3


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Pan"eatiti+ ag&%a

( La TC 5a a %ete"ta la )e+en"ia %e )an"eatiti+ ag&%a 0la ga5e%a% %e la+ "!m)li"a"i!ne+3

( El #n%i"e %e +e5ei%a% %e la TC "!m4ina l!+ "itei!+ %e:alt2a1a "!n el )!"enta6e %e ne"!+i+ %e la gl*n%&la)an"e*ti"a3


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Pan"eatiti+ ag&%a

( Citei!+ Imagen!l'gi"!+ %e :alt2a1a;

Se "atal!gan en /&n"i'n al tamañ!- "!nt!n!- %en+i%a% 0e,i+ten"ia %e en/eme%a% in/lamat!ia )ei)an"e*ti"a "!n! +in la )e+en"ia %e &na ! m*+ "!le""i!ne+ l#.&i%a+3

Se "la+i/i"an en A- :- C- D 0 E3


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Pan"eatiti+ ag&%a( Se "!n+i%ea ne"!+i+ )an"e*ti"a el *ea glan%&la .&e

n! eal1a %e+)&$+ %e la a%mini+ta"i'n %e "!nta+teen%!5en!+!3

( Ga%!+;( ?3( @= Ente 7>? 0 8>?3( 7= Ma0! al 8>?3


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Pan"eatiti+ ag&%a


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Pan"eatiti+ ag&%a

:alt2a1a A


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Pan"eatiti+ ag&%a

:alt2a1a :


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Pan"eatiti+ ag&%a

:alt2a1a C


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Pan"eatiti+ ag&%a

:alt2a1a D


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Pan"eatiti+ ag&%a

:alt2a1a E


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Pan"eatiti+ "'ni"a( En/eme%a% in/lamat!ia "'ni"a %el )*n"ea+ "!n /i4!+i+

%el )a$n.&ima "!n la "!n+e"&en"ia %e in+&/i"ien"ia/&n"i!nal en%!"ina 0 e,!"ina3

( De4i%! a la inge+ta %e al"!2!l en el >? %e l!+ "a+!+a)!,ima%amente3

Cal"i/i"ante O4+t&"ti5a


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Pan"eatiti+ "'ni"aC&a%! "l#ni"!

D!l!

Pe%i%a %e )e+!

E+teat!eaB

DM

I"tei"ia


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Pan"eatiti+ "'ni"a


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Pan"eatiti+ "'ni"a


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Pan"eatiti+ "'ni"a


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Pan"eatiti+ "'ni"a


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Ca"in!ma

( C!n+tit&0e m*+ %el >? %e l!+ t&m!e+ malign!+ %el)*n"ea+3

( E+"a+a +&)e5i5en"ia gl!4al a l!+ 8 añ!+- +'l! %e &n ?

( Ale%e%! %el >? %e l!+ a%en!"a"in!ma+ %el )*n"ea++e %e+a!llan en la "a4e1a %e la gl*n%&la3


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Ca"in!ma


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Ca"in!ma


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Gl*n%&la+ +&)aenale+( Tiene /!ma %e Y- ! T in5eti%a+ 0 )e+an

a)!,ima%amente 8 gam!+ "a%a &na3

( La "!te1a +&)aenal +e"eta "!ti+!l- al%!+te!na 0an%'gen!+ la m$%&la +e"eta e)ine/ina 0 n!e)ine/ina3

( La TC e+ la m!%ali%a% )imaia en la %ete""i'n 0"aa"tei1a"i'n %e la+ ma+a+3


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Gl*n%&la+ +&)aenale+


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Gl*n%&la+ +&)aenale+ A%en!ma+

( C!n+tit&0en &n 2alla1g! "!mún en TC3

(Pe.&eñ!+- n! /&n"i!nante+- a+int!m*ti"!+- 0"!e+)!n%en a &n 2alla1g! in"i%ental3


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Gl*n%&la+ +&)aenale+ A%en!ma+


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Gl*n%&la+ +&)aenale+Met*+ta+i+

( Le+i'n maligna m*+ "!mún %e la+ gl*n%&la++&)aenale+3

( C&at! +iti! m*+ /e"&ente %e met*+ta+i+ en el "&e)!3

( Met*+ta+i+ genealmente )!5ienen %e )&lm'n- mama-

iñ'n- inte+tin! 0 )*n"ea+3 Men!+ "!mún el melan!ma3

( En geneal +in "!nta+te )e+entan &na %en+i%a% ma0! a UH- "!n &n la5a%! )!+t "!nta+te men! al 8>?


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Gl*n%&la+ +&)aenale+Met*+ta+i+


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Gl*n%&la+ +&)aenale+


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C!n"l&+i'n( La+ )at!l!g#a+ )an"e*ti"a+ +!n en/eme%a%e+ %e

e5!l&"i'n im)e%e"i4le .&e 5a %e+%e e+ta%!+a+int!m*ti"!+ 2a+ta "a+!+ m!tale+3 Im)!tante e+ la%ete""i'n tem)ana %e e+ta+ )at!l!g#a+ )aa &n

)!n'+ti"! alenta%! )aa el )a"iente3

( La TC %e gl*n%&la+ +&)aenale+ e+ &na m!%ali%a% %ealt! en%imient! 0 4a+tante e/e"ti5! )aa "aa"tei1a

le+i!ne+ %e e+t!+ 'gan!+3


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Pancreas Ssrr Tc

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