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Cancer therapy related complications in the liver pancreas and biliary system: an imaging perspective

机译:癌症治疗相关的肝胰和胆道系统并发症:影像学角度

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摘要

AbstractAwareness of cancer therapy-induced toxicities is important for all clinicians treating patients with cancer. Cancer therapy has evolved to include classic cytotoxic agents in addition to newer options such as targeted agents and catheter-directed chemoembolisation. Several adverse affects can result from the wide array of treatments including effects on the liver, pancreas, and biliary system that can be visualised on imaging. These complications include sinusoidal obstruction syndrome, fatty liver, pseudocirrhosis, acute hepatitis, pancreatitis, pancreatic atrophy, cholecystitis, biliary sclerosis, and biliary stasis. Many of these toxicities are manageable and reversible with supportive therapies and/or cessation of cancer therapy. The objective of this review is to discuss the imaging findings associated with cancer therapy-induced toxicity of the liver, biliary system, and pancreas.
机译:摘要认识到癌症治疗引起的毒性对于所有治疗癌症患者的临床医生都很重要。癌症治疗已发展为包括经典的细胞毒药物,以及诸如靶向药物和导管定向化学栓塞等新型选择。广泛的治疗可能会产生几种不良影响,包括对肝脏,胰腺和胆道系统的影响,这些影响可以在影像学上看到。这些并发症包括窦房结综合征,脂肪肝,假性肝硬化,急性肝炎,胰腺炎,胰腺萎缩,胆囊炎,胆道硬化和胆道淤积。通过支持疗法和/或停止癌症疗法,这些毒性中的许多是可控制和可逆的。这篇综述的目的是讨论与癌症治疗引起的肝,胆系统和胰腺毒性相关的影像学发现。

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