| Endoscopic ultrasonography versus helical CT in diagnosis and staging of pancreatic cancer. | |
| | |
MedLine Citation:
|
PMID: 19476136 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
AIM: Compare the performances of EUS to helical CT in the diagnosis and staging of pancreatic adenocarcinoma. METHODS: Forty two consecutive patients (mean age 63 years; 25 men, 17 women) who had surgical exploration and histologically proved pancreatic cancer were retrospectively included. All our patients underwent with endoscopic ultrasonography (EUS) and helical computed tomography (helical CT). Data analysis compared helical CT, EUS with the surgical data with or without histological study in diagnosis, staging and resectability of pancreatic cancer. Surgical findings were used as gold standard. RESULTS: For positive diagnosis EUS was more sensitive 100% (CI:93-100) than helical CT 88% (CI:77-95). But helical CT was more specific 89% (CI:64-98) than EUS 83% (CI:58-96) for small tumors whose diameter is below 2.5 cm in witch EUS was more sensitive in their detection (100% versus 83%). In evaluating venous involvement EUS was more sensitive than helical CT (96% versus 50%; p<0.05), while CT was more specific (81% versus 75%; p<0.05). Regarding lymph nodes invasion, the two imaging technique had the same sensibility (56%) with better specificity for helical CT (83% versus 75%; p<0.05). The accuracy of EUS in identifying the T and N stages were 80% and 67% respectively, while helical CT have an accuracy of 50% and 71% respectively. EUS and helical CT correctly identified all resectable tumors while EUS was more accurate than helical CT in detecting non resectable tumors 94% versus 69%. CONCLUSION: EUS remains superior to helical CT in positive diagnosis of pancreatic adenocarcinoma especially for small tumors and also for the diagnosis of venous invasion and in identifying non resectable tumors. The two techniques have the same accuracy in the detection of lymph node involvement. |
| | |
Authors:
|
Yassine Jemaa; Fatma Houissa; Senda Trabelsi; Amel Moussa; Houda Belhouchet; Leila Mouelhi; Mouna Bouraoui; Slim Bouzaidi; Radhouane Debbeche; Jamel Ben Yedder; Mohamed Salem; Taoufik Najjar |
Related Documents
:
|
17282566 - Data correction for gantry-tilted local ct. 12147836 - Mr cholangiography in symptomatic gallstones: diagnostic accuracy according to clinical... 21228936 - Diffusion and perfusion characteristics of melas (mitochondrial myopathy, encephalopath... 10751476 - Transjugular intrahepatic portosystemic shunt: accuracy of helical ct angiography in th... 17013586 - Cerebral metabolic and structural alterations in hereditary spastic paraplegia with thi... 9874296 - Treatment planning of brain implants using vascular information and a new template tech... |
Publication Detail:
|
Type: Comparative Study; Journal Article |
Journal Detail:
|
Title: La Tunisie médicale Volume: 86 ISSN: 0041-4131 ISO Abbreviation: Tunis Med Publication Date: 2008 Apr |
Date Detail:
|
Created Date: 2009-05-29 Completed Date: 2009-06-23 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0413766 Medline TA: Tunis Med Country: Tunisia |
Other Details:
|
Languages: eng Pagination: 346-9 Citation Subset: IM |
Affiliation:
|
Gastroenterology Department, Charles Nicolle Hospital, Tunis, Tunisia. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Endosonography* Female Humans Male Middle Aged Neoplasm Staging Pancreatic Neoplasms / diagnosis*, pathology Retrospective Studies Tomography, Spiral Computed* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Virological response of Tunisians patients treated by peginterferon plus ribavirin for chronic hepat...
Next Document: Morbidity of the elderly in impatient rheumatology clinic