| Value of helical computed tomography, angiography, and endoscopic ultrasound in determining resectability of periampullary carcinoma. | |
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MedLine Citation:
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PMID: 9324129 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: High-quality preoperative radiographic evaluation is crucial in selecting patients with periampullary carcinomas who are candidates for surgical exploration and tumor resection while minimizing the rate of unnecessary laparotomy. METHODS: Twenty-one consecutive patients were prospectively investigated using helical computed tomography (CT) scanning, endoscopic ultrasonography (EUS), and selective visceral angiography (SVA) to determine tumor resectability. All patients were explored and resectability determined. RESULTS: Helical CT had a sensitivity of 63%, a specificity of 100%, and an overall accuracy of 86%. EUS had a sensitivity of 75%, a specificity of 77%, and an overall accuracy of 76%. SVA had a sensitivity of 38%, a specificity of 92%, and an overall accuracy of 71%. CONCLUSIONS: Helical CT scanning is the best preoperative imaging test to determine tumor resectability. EUS is more sensitive than CT for tumor detection, but underestimates resectability. SVA is no longer helpful in the preoperative evaluation of these malignancies. |
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Authors:
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T J Howard; A C Chin; E W Streib; K K Kopecky; E A Wiebke |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: American journal of surgery Volume: 174 ISSN: 0002-9610 ISO Abbreviation: Am. J. Surg. Publication Date: 1997 Sep |
Date Detail:
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Created Date: 1997-10-21 Completed Date: 1997-10-21 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0370473 Medline TA: Am J Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 237-41 Citation Subset: AIM; IM |
Affiliation:
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Department of Surgery, Indiana University School of Medicine, Indianapolis, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Angiography Endoscopy Female Humans Male Middle Aged Neoplasm Staging Pancreatic Neoplasms / pathology, radiography*, ultrasonography* Predictive Value of Tests Prospective Studies Sensitivity and Specificity Tomography, X-Ray Computed* / methods |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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