Document Detail


Localization of islet cell tumors by dynamic CT: comparison with plain CT, arteriography, sonography, and venous sampling.
MedLine Citation:
PMID:  6087646     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Ten patients with suspected islet cell tumors (seven with possible gastrinomas, three with insulinomas) underwent diagnostic evaluation with dynamic CT scanning, routine CT scanning, angiography, and sonography. Venous sampling was also performed in selected instances. Nine sites of gastrinoma and three insulinomas were confirmed surgically in eight patients. Two patients had negative surgical explorations. Routine CT demonstrated five of the nine gastrinomas and one of two insulinomas. Angiography was positive in six of nine gastrinomas and all three insulinomas. Sonography showed only two of the nine gastrinomas and two of the three insulinomas. Dynamic CT scanning demonstrated three additional lesions (two gastrinomas, one insulinoma) not visible on routine CT scanning. Although most of these lesions were visible arteriographically, dynamic CT scans at the appropriate level localized the pathology in the transverse plane and greatly aided in surgical resection of these lesions. Dynamic CT scanning is a useful adjunct to routine angiographic and CT workup of patients with islet cell tumors.
Authors:
A G Krudy; J L Doppman; R T Jensen; J A Norton; M J Collen; T H Shawker; J D Gardner; K McArthur; P Gorden
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  AJR. American journal of roentgenology     Volume:  143     ISSN:  0361-803X     ISO Abbreviation:  AJR Am J Roentgenol     Publication Date:  1984 Sep 
Date Detail:
Created Date:  1984-09-17     Completed Date:  1984-09-17     Revised Date:  2008-02-15    
Medline Journal Info:
Nlm Unique ID:  7708173     Medline TA:  AJR Am J Roentgenol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  585-9     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adenoma, Islet Cell / diagnosis,  radiography*
Angiography
Humans
Pancreatic Neoplasms / diagnosis,  radiography*
Phlebography
Tomography, X-Ray Computed*
Ultrasonography

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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