Welcome to Entire tumor, and peripancreatic spread was confirmed at pathology. Coronal reconstruction image obtained in arterial phase of enhancement shows tumor abutting gastroduodenal artery (arrow). View larger version: in this window in a new window download as powerpoint slide fig. 9d. —malignant nonfunctioning islet cell tumor in 45-year-old man with abdominal pain. Extended pancreaticoduodenectomy was required to remove entire tumor, and peripancreatic spread was confirmed at pathology. Coronal reconstruction image obtained in venous phase of enhancement confirms severe narrowing of portal confluence (arrow). View larger version: in this window in a new window download as powerpoint slide fig. 10a. —malignant nonfunctioning islet cell tumors with liver metastases in 58-year-old woman referred from outside institution for therapy. Patient underwent distal pancreatectomy and splenectomy as well as wedge resection and ablation of hepatic metastases. Axial ct image of pancreas obtained in arterial phase of enhancement shows 5-cm heterogeneously enhancing mass (arrow) in body and tail of pancreas. Portions of mass are hyperattenuating. Note at least two small enhancing liver metastases (arrowheads). View larger version: in this window in a new window download as powerpoint slide fig. discount generic viagra mg viagra discount online cheap generic viagra viagra without a doctor prescription buy viagra online in usa viagra from cananda without prescription buy generic viagra cheap generic viagra where to buy viagra cheap viagra online 10b. —malignant nonfunctioning islet cell tumors with liver metastases in 58-year-old woman referred from outside institution for therapy. Patient underwent distal pancreatectomy and splenectomy as well as wedge resection and ablation of hepatic metastases. Axial ct image obtained at same level as a in venous phase of enhancement shows that liver lesions have become isoattenuating compared with normal liver parenchyma and are inconspicuous. Splenic vein is invaded by mass (arrow). View larger version: in this window in a new window download as powerpoint slide fig. 10c. —malignant nonfunctioning islet cell tumors with liver metastases in 58-year-old woman referred from outside institution for therapy. Patient underwent distal pancreatectomy and splenectomy as well as wedge resection and ablation of hepatic metastases. Axial ct image obtained at level of gastric fundus shows collateral veins (arrow) nicely outlined by water-filled stomach. Previous section next section pitfalls and differential diagnosis sensitivity of dual. valhalx.com

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