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Cysts of pancreas RADIOLOGY

Cysts of pancreas RADIOLOGY

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Published by mhany12345

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Published by: mhany12345 on May 25, 2012
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05/25/2012

 
My}xim X~dgr} ge xbnVljmrnl}; Idl`ij`ljh Dljl`ndnjx
Mlxbnrijn N* Hnpb~r}x#
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My}xim x~dgr} ge xbn vljmrnl} lrn l hiunr}n `rg~vge cn}igj} xblx ulry ergd onji`j xg vrndlci`jljxxg erljacy dlci`jljx njxixin}* Xbnrn bl} onnjl ?6$egch ijmrnl}n ij xbn hnxnmxigj ge my}ximvljmrnlxim cn}igj} ij xbn cl}x <> ynlr}# dg}xjgxlocy oy mrg}}$}nmxigjlc dghlcixin} }~mb l}mgdv~xnh xgdg`rlvby "MX) ljh dl`jnxim rn}g$jljmn "D_) idl`ij`*
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Xbn xr~n vrnulcnjmn ge vljmrnlxim my}xim cn}igj} i} ~jajgpj o~x bl}vrnuig~}cy onnj rnvgrxnh xg on ij xbn rlj`n ?*8.xg <5*6.# ljh xbny lrn hnxnmxnh dgrn pixbijmrnl}ij` l`n*
Gjn }x~hy rnvgrxnh vrnulcnjmnge ijmihnjxlc vljmrnlxim my}xim cn}igj} gj D_idl`ij` xg on ij xbn grhnr ge <=*>. ljh }bgpnhxblx xbnvrnulcnjmn ljh my}x }i{n lc}g ijmrnl}nhpixb l`n*
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Xbn}n eijhij`} blun onnj mgrrgogrlxnhlx l~xgv}y pixb xbnvrnulcnjmn ge my}xim cn}igj}lvvrglmbij` ?>.*
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Dg}x ge xbn}n cn}igj}# n}vnmilccy pbnj clr`n#blun mblrlmxnri}xim idl`ij` enlx~rn} lx rlhigcg`y#ljh lmm~rlxn hieenrnjxilxigj onxpnnj xbnd i}
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Jnunrxbncn}}# }dlccnr cn}igj}dly lvvnlr ijhnxnrdijlxn ljh xbn dljl`ndnjxvlxbply} ge xbn}n dly on mgje~}ij` ljh ulrilocn*Xbi} lrximcn rnuinp} xbn bi}xgvlxbgcg`im enlx~rn}ljh mgddgj idl`ij` eijhij`} egr lj lrrly ge my}xim vljmrnlxim jngvcl}d}# ijmc~hij` xbn mgd$dgj my}xim x~dgr} ge xbn vljmrnl}; }nrg~} dimrg$my}xim lhnjgdl# d~mijg~} my}xim x~dgr "DMX)#IVDJ# ljh ]VX* ^jmgddgj my}xim x~dgr} ge xbnvljmrnl} ijmc~hn my}xim njhgmrijn x~dgr}# my}ximdnxl}xl}n}# my}xim xnrlxgdl}# ljh cydvblj`ig$dl}* Xbi} lrximcn lc}g vrguihn} mgdvrnbnj}iunlc`grixbd} gj bgp xg dljl`n xbn ijhiuih~lc cn$}igj}# pixb rnmgddnjhlxigj} gj pbnj xg rnidl`nvlxinjx}*
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]nrg~} Dimrgmy}xim Lhnjgdl
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Ni`bxy vnrmnjx ge xbn}n gmm~r ij pgdnj dgrn xblj 56 ynlr} gch#bnjmn xbn xnrd `rljhdgxbnr cn}igj*
]nrg~} di$mrgmy}xim lhnjgdl} lrn onji`j ljh dljy lrneg~jh ijmihnjxlccy* Xbnrn i} l }ci`bx vrnhgdijljmnge gmm~rrnjmn ij xbn vljmrnlxim bnlh# o~x xbnyblun onnj rnvgrxnh xg gmm~r xbrg~`bg~x xbnvljmrnl}* Lxrgvby ge vljmrnlxim xi}}~n ljh hiclxl$xigj ge xbn vljmrnlxim gr oicilry h~mxlc }y}xnd}vrgidlc xg xbn cn}igj lrn jgx mgddgjcy }nnjonml~}n ge xbn x~dgr’} xnjhnjmy xg hi}vclmn}~rrg~jhij` }xr~mx~rn} rlxbnr xblj ijulhn xbnd*Xbn x~dgr xnjh} jgx xg ml~}n dljy mcijimlc }ydv$xgd}# ljh }g mlj onmgdn clr`n onegrn onij` hn$xnmxnh* Dl}} neenmx# ml~}nh oy clr`nr x~dgr} gj}~rrg~jhij` }xr~mx~rn}# dly cnlh xg }ydvxgd}}~mb l}jl~}nl gr jgj}vnmieim lohgdijlc hi}mgd$egrx*
Clr`nr x~dgr} ":8 md) dly `rgp el}x"lvvrgidlxncy ? md'y) ljh onmgdn }ydvxgdlxim*Xbnrnegrn#ij}gdnij}xix~xigj}#xbn}nclr`nrcn}igj}#lconixonji`j# lrn}~r`imlccy rndgunh*Bndgrrbl`nbl} gmml}igjlccy onnj rnvgrxnh nixbnr ergd xbnx~dgr ocnnhij` ijxg ix}nce gr ergd xbn `l}xrgijxn}$xijlc }y}xnd }nmgjhlry xg ~cmnrlxigj ergd }xrnxmb$ij` ge xbn }xgdlmb gr h~ghnj~d gunr xbnx~dgr*
Pbnxbnr xbi} x~dgr gmm~r} pixb lj ij$mrnl}nhern|~njmy ijhilonxim}i}}xicchnolxnh*
Xbnrn i} lc}g lj ijmrnl}nh ijmihnjmn ge }nrg~} di$mrgmy}xim lhnjgdl ij vlxinjx} pixb ugj Bivvnc$Cijhl~ hi}nl}n*
Bi}xgvlxbgcg`imlccy#xbn}ncn}igj}mgdvri}nd~c$xivcn my}x} "~}~lccy :5) dnl}~rij` cn}} xblj ? mdljh}nvlrlxnhoyxbij}nvxlcijnhoynvixbncilcmncc}*Xbn my}x} lrn eiccnh pixb }nrg~} ec~ih ljh xbn clr`nrmy}x} lrn xyvimlccy cgmlxnh vnrivbnrlccy# mgjxrio$~xij` xg xbn cn}igj’} cgo~clxnh mgjxg~r* @rg}}cy#xbn x~dgr bl} onnj hn}mrionh l} bluij` xbn lv$vnlrljmn ge l mc~}xnr ge `rlvn}*
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^cxrl}g~jh ge l }nrg~} dimrgmy}xim lhnjgdlxyvimlccy hi}vcly} l pncc$mirm~d}mrionh# cgo~clxnhcn}igj pixb hnmrnl}nh xbrg~`b$xrlj}di}}igj* Xbneiorg~} vgrxigj ge xbn cn}igj i} byvnrnmbgim#pbnrnl} xbn my}xim vgrxigj} lrn byvgnmbgim* Ijcn}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 pixbhnmrnl}nh xbrg~`b$xrlj}di}}igj ljh vg}xnrigrlmg~}xim }blhgpij`*Gj MX# }nrg~} dimrgmy}xim lhnjgdl} dg}xmgddgjcy blun l cgo~clr }blvn*
Onml~}nxbn x~dgr i} vridlricy ge plxnr hnj}ixy gj ~jnj$bljmnh MX }mlj}# xbny lvvnlr byvghnj}n* Mlcmi$eimlxigj}# ie vrn}njx# lrn byvnrhnj}n ljh `njnrlccylrrlj`nh ij l }xncclxn vlxxnrj mnjxrlccy ij xbn cn}igj
 )* Lexnr lhdiji}xrlxigj ge ighijlxnh mgj$xrl}x dlxnrilc# xbn eiorg~} vgrxigj} ge xbn cn}igjnjbljmn* ]nrg~} dimrgmy}xim lhnjgdl} lrn xbngjcy byvnrul}m~clr my}xim vljmrnlxim x~dgr} ljh#xbnrnegrn# xbnir njbljmndnjx vlxxnrj i} lj id$vgrxljx hi}xij`~i}bij` enlx~rn xblx hieenrnjxilxn}xbnd ergd gxbnr my}xim jngvcl}d} }~mb l} jn~rg$njhgmrijn x~dgr} ge xbn vljmrnl} gr byvnrul}m~$clr dnxl}xl}n}* Xbn mblrlmxnri}ximlccy hn}mrionhlvvnlrljmn# laij xg l }vgj`n gr irrn`~clr bgjny$mgdo# i} }nnj ij gjcy ?6. ge ml}n}* Cn}igj} pixbenpnr eiorg~} }nvxlxigj} dly dlijxlij ec~ih hnj$}ixy# nunj lexnr mgjxrl}x lhdiji}xrlxigj* Ij cn}igj}mgdvg}nh vridlricy ge dimrg}mgvim my}x}# xbncn}igj} mlj blun l }gcih lvvnlrljmn pixb dgrnbgdg`njng~} njbljmndnjx lexnr mgjxrl}x lhdij$i}xrlxigj*
Ij xbn}n ml}n}# l} pixb lcc gxbnr my}ximvljmrnlximjngvcl}d}#D_idl`ij`dlyonbncve~cxg e~rxbnr mblrlmxnri{n xbn cn}igj*Gj X?$pni`bxnh idl`n}# xbn my}xim ec~ih$eiccnhmgdvgjnjx} lrn byvnrijxnj}n rnclxiun xg lhklmnjxvljmrnlxim vlrnjmbydl# ljh xbn eiorg~} mgdvg$jnjx} lrn byvgijxnj}n* Xbn my}xim vgrxigj} lrnmcl}}imlccy byvgijxnj}n gj X<$pni`bxnh idl`ij`#o~x dly blun lrnl} ge byvnrijxnj}ixy ie xbnrnbl} onnj vrnuig~} ijxrlmy}xim bndgrrbl`n*
Xbneiorg~} mgdvgjnjx} lrn lc}g byvgijxnj}n gjX<$pni`bxnh idl`ij`* Ljy lrnl} ge mlcmieimlxigjlrn byvgijxnj}n gj ogxb X<$pni`bxnh ljh X?$pni`bxnh idl`ij`# ie ui}iocn lx lcc* Lexnr `lhgciji~dije~}igj# njbljmndnjx ge xbn eiorg~} }nvxlxigj}dly on }nnj gj nlrcy ljh clxn vbl}n} ge idl`ij`#pixb vnr}i}xnjxnjbljmndnjx gexbn mnjxrlc}mlr gjdgrn hnclynh vbl}n} ge idl`ij`
 )* D_idl`ij` bl} ijmrnl}nh }nj}ixiuixy ij hnxnmxij` ec~ihmgdvlrnh pixb MX onml~}n xbn ec~ih mgdvgjnjx}ge x~dgr} mgdvg}nh vridlricy ge dimrgmy}x} dlyjgx on nl}icy hnxnmxnh pixb MX* Xbn}n cn}igj}hg jgx }bgp }i`jieimljx rn}xrimxnh hiee~}igj gjhiee~}igj$pni`bxnh idl`ij` pixb X? }bijn$xbrg~`bgj xbn mgrrn}vgjhij` lvvlrnjx hiee~}igj mgneei$minjx "LHM) dlv*
 L }dlcc j~donr ge x~dgr} blun onnj hn}mrionhpixb }idiclr bi}xgcg`im mblrlmxnri}xim} xg }nrg~}dimrgmy}xim lhnjgdl# o~x pixb hieenrnjx `rg}}lvvnlrljmn}* Xbn}n x~dgr} lcc mgjxlij enpnrxblj 5 my}x} ljh xbn }i{n ge xbn my}x} bl} ~}~lccyonnjhn}mrionhl}onxpnnj<ljh?md#o~x}gdn$xidn} l} clr`n l} 2 md*
Xbn x~dgr} clma l mnjxrlc}mlr# ljh xbn eiorg~} mgdvgjnjx} dly irrn`~clrcynxnjh ijxg xbn }~rrg~jhij` vljmrnlxim vlrnj$mbydl*]nunrlcjldn}blunonnj~}nhxghn}mrionxbi} ulriljx; dlmrgmy}xim }nrg~} my}xlhnjgdl#}nrg~} gci`gmy}xim lhnjgdl# ljh icc$hndlrmlxnhlhnjgdl* Cian xbnir dimrgmy}xim ulriljx# xbny lrnonji`j# ljh hg jgx jnmn}}ixlxn }~r`imlc rn}nmxigj~jcn}}xbn}i{nljh'grcgmlxigjgexbnx~dgrml~}n}}ydvxgd}# }~mb l} vlij# vljmrnlxixi}# gr kl~jhimn
 )* ]nunrlc }dlcc# rnxrg}vnmxiun rnuinp} blunlxxndvxnh xg hneijn hi}mridijlxij` rlhigcg`imenlx~rn} ge xbi} cn}igj*
 L rnxrg}vnmxiun }x~hymgjxlijij` <? ml}n} oy Mgbnj$]mlci ljh mgc$cnl`~n}
lxxlijnh l }vnmieimixy ge <66. ij hieenr$njxilxij` xbn cn}igj ergd l d~mijg~} my}xim x~dgroy ~}ij` l mgdoijlxigj ge ljy = ge xbn egccgpij` 8eijhij`} gj mgjxrl}x$njbljmnh MX; cgmlxigj ij xbnvljmrnlxim bnlh# plcc xbimajn}} cn}} xblj ? dd#cgo~clxnh mgjxg~r# ljh lo}njmn ge plcc nj$bljmndnjx*L rnxrg}vnmxiun }x~hy oy Aid ljhmgccnl`~n}
mgjxlijij` <6 ml}n} hieenrnjxilx$nh }nrg~} gci`gmy}xim lhnjgdl ergd d~mijg~}my}xlhnjgdl} ljh ijxrlh~mxlc vlvicclry d~mijg~}x~dgr} ~}ij` mgjxrl}x$njbljmnh MX pixb l }vnmi$eimixy ge 96. ie xbn cn}igj pl} nixbnr d~cximy}xim gr
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]nrg~} dimrgmy}xim lhnjgdl* Lilc# mgjxrl}x$njbljmnh# m~runh# rnegrdlxxnh MX idl`n }bgp}l cgo~clxnh# byvghnj}n dl}} ij xbn bnlh ge xbnvljmrnl} mgdvg}nh ge d~cxivcn }dlcc my}x} pixbl mnjxrlc }xncclxn }mlr mgjxlijij` mlcmieimlxigj} ljhnjbljmndnjx ge xbn eiorg~} }nvxlxigj} ij l bgjny$mgdo vlxxnrj*
My}xim X~dgr} ge xbn Vljmrnl}
859

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