Zufallsbefunde von Leber, Gallensystem, Pankreas und Milz bei asymptomatischen Patienten

Scharitzer, Martina; Tamandl, Dietmar; Ba‐Ssalamah, Ahmed

doi:10.1007/s00117-017-0235-x

Cited by 6 publications

(8 citation statements)

References 28 publications

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“…There are few other differential diagnoses in B-scan sonography, so that a sonomorphological diagnosis is possible with typical presentation. Most commonly, this manifestation form is mistaken for cholangiocellular carcinoma 2 .…”

Section: Alveolar Echinococcosis (Fox Tapeworm Disease)mentioning

confidence: 99%

“…B-Bild-sonografisch gibt es hierzu wenige andere Differenzialdiagnosen, sodass bei typischer Präsentation eine sono-morphologische Diagnose möglich ist. Am häufigsten wird diese Manifestationsform mit einem cholangiozellulären Karzinom verwechselt 2 .…”

Section: Alveoläre Echinokokkose (Fuchsbandwurm-erkrankung)unclassified

“…Detection of focal nodular hyperplasia (FNH) and liver adenomas is 10 to 100 times less common than simple cysts, hemangiomas or focal hyposteatosis 1 . Complex cysts and non-typical masses, especially during screening examinations or upper abdominal sonography due to other complaints, present investigators with the question of whether the lesion is an atypical benign lesion or a previously unknown primary malignant or metastatic lesion of a previously unknown underlying malignant disease 2 .…”

Section: Introductionmentioning

confidence: 99%

“…Der Nachweis von fokal nodulären Hyperplasien (FNH) und Leberadenomen ist 10- bis 100-mal seltener als einfache Zysten, Hämangiome oder fokale Minderverfettungen 1 . Komplizierte Zysten und nicht typische Raumforderungen stellen vor allem im Rahmen von Vorsorgeuntersuchungen oder Oberbauchsonografien aufgrund anderer Beschwerden die Untersucher vor die Frage, ob es sich um eine atypische benigne Läsion oder eine bisher nicht bekannte, primär maligne oder metastasensuspekte Läsion einer bisher nicht bekannten malignen Grunderkrankung handelt 2 .…”

Section: Introductionunclassified

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Echinococcosis: a Challenge for Liver Sonography

2022

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Section: Alveolar Echinococcosis (Fox Tapeworm Disease)mentioning

confidence: 99%

Section: Alveoläre Echinokokkose (Fuchsbandwurm-erkrankung)unclassified

Section: Introductionmentioning

confidence: 99%

Section: Introductionunclassified

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Echinococcosis: a Challenge for Liver Sonography

2022

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“…B-Bild-sonografisch gibt es hierzu wenige andere Differenzialdiagnosen, sodass bei typischer Präsentation eine sonomorphologische Diagnose möglich ist. Am häufigsten wird diese Manifestationsform mit einem cholangiozellulären Karzinom verwechselt [2]. Als zweithäufigstes Muster findet sich das pseudozystische Muster mit 13,5 %, gefolgt vom Verknöcherungsmuster mit 13,0 %.…”

Section: Bildgebungunclassified

SOP Echinokokkose

Kratzer¹,

Weimer²,

Haggenmüller³

2022

Gastroenterologie up2date

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WFUMB Position Paper—Incidental Findings, How to Manage: Spleen

Trenker

Görg

Freeman

et al. 2021

Ultrasound in Medicine & Biology

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The World Federation for Ultrasound in Medicine and Biology (WFUMB) is addressing the issue of incidental findings (IFs) with a series of publications entitled "Incidental Imaging Findings-The Role of Medical Ultrasound." IFs are less commonly encountered in the spleen than in many other abdominal organs but remain a frequent dilemma in clinical practice. A histological diagnosis is rarely necessary for patient management. Many IFs, such as secondary spleens and splenic cysts, are harmless and do not require any further investigation. The diagnosis of many other focal splenic lesions is, however, often problematic. The following overview is intended to illustrate a variety of incidentally detected spleen pathologies such as size variants, shape variants, secondary spleens, focal splenic lesions and splenic calcifications. It should aid the examiner in establishing the diagnosis. Moreover, it should help the ultrasound practitioner decide which pathologies need no further investigation, those requiring interval imaging and cases in which immediate further diagnostic procedures are required.In patients with splenomegaly (>13 £ 6 cm), an imaging, clinical and laboratory evaluation is usually required to determine the underlying cause.Most congenital variants of the spleen, and accessory spleens, have characteristic ultrasound appearances and do not require further evaluation or follow-up.The use of ultrasound contrast microbubbles (contrast-enhanced ultrasound) is of particular value in ultrasound imaging of the spleen when an indeterminate incidental finding is encountered.Splenosis can be confidently diagnosed with contrast-enhanced ultrasound and usually requires no additional imaging or follow-up.The cause of an inhomogeneous splenic parenchyma must be clarified, especially to exclude sarcoidosis or lymphomatous infiltration. Incidental indeterminate focal splenic lesions (with the exception of simple cysts) are often best managed by an interval follow-up examination (initially after 3 months) unless there clearly malignant clinical or sonographic features.For splenic calcifications, including the "starry sky" spleen, no follow-up is necessary.

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Zufallsbefunde von Leber, Gallensystem, Pankreas und Milz bei asymptomatischen Patienten

Cited by 6 publications

References 28 publications

Echinococcosis: a Challenge for Liver Sonography

Echinococcosis: a Challenge for Liver Sonography

SOP Echinokokkose

WFUMB Position Paper—Incidental Findings, How to Manage: Spleen

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