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sindromul ascitic - UMF - Iuliu Haţieganu

sindromul ascitic - UMF - Iuliu Haţieganu

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TUMORILE PANCREASULUI - Morfopatologie<br />

MORFOPATOLOGIE<br />

Localizare<br />

• ¾ cefalic, ¼ corporeal si caudal<br />

Tumorile cefalice<br />

• obstructia ductului Wirsung - leziuni tip pancreatita cr. obstructiva<br />

• obstructia CBP -icter obstructiv<br />

Tumorile corporeale / caudale<br />

• ating un diametru mai mare (sunt descoperite mai tarziu)<br />

In evolutie<br />

• reactie desmoplastica => invazie capsulara, ganglionara, venoasa,<br />

arteriala, perineurala<br />

• invazie -> duoden, stomac, peritoneu, vezicula biliara, ficat, splina<br />

• metastaze la distanta - ficat, plaman, SRN, rinichi, os... (40% din metastaze<br />

sunt invizibile imagistic preoperator!!)

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