Document Detail

Pancreaticoduodenectomy for presumed pancreatic cancer.
MedLine Citation:
PMID:  18255280     Owner:  NLM     Status:  MEDLINE    
A literature search revealed only five recent articles with specific information on the incidence of performance of pancreaticoduodenectomy when the preoperative diagnosis is uncertain. The collected incidence of benign diagnoses in the five papers was 13.1%. Five other papers describing patients from before 1990 reported rates of benign diagnoses of 9.7%, p<0.007 compared to the more recent series. The introduction of advanced diagnostic tests has not decreased the incidence of benign pathology after pancreaticoduodenectomy for presumed cancer. Pancreaticoduodenectomy should be performed without a definitive diagnosis of cancer if, in the opinion of an experienced surgeon, clinical suspicion is high.
James E Barone
Publication Detail:
Type:  Journal Article; Review     Date:  2008-02-05
Journal Detail:
Title:  Surgical oncology     Volume:  17     ISSN:  0960-7404     ISO Abbreviation:  Surg Oncol     Publication Date:  2008 Aug 
Date Detail:
Created Date:  2008-04-18     Completed Date:  2008-09-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9208188     Medline TA:  Surg Oncol     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  139-44     Citation Subset:  IM    
Department of Surgery, Lincoln Medical and Mental Health Center, Weill Medical College of Cornell University, Bronx, NY 10451, USA.
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MeSH Terms
Diagnostic Imaging
False Positive Reactions
Pancreatic Neoplasms / diagnosis*,  surgery*
Pancreaticoduodenectomy / utilization*
Reproducibility of Results

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

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