Abdominal Ultrasonography in Detecting and Surgical Treatment of Pancreatic Carcinoma

Kulig, Piotr; Pach, Radosław; Pietruszka, Szymon; Banaś, Bartłomiej; Sierżęga, Marek; Kołodziejczyk, Piotr

doi:10.2478/v10035-012-0048-6

Cited by 2 publications

(2 citation statements)

References 26 publications

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“…Lower accuracy for T4 lesions probably resulted from difficulties in the assessment of vascular invasion on ultrasound examination. In our previous study summarizing the value of ultrasonography in 409 patients with pancreatic cancer, 19 higher accuracy was observed for T3 and T4 tumors (89.4% and 92.1%, respectively) but after analyzing the whole group of 454 patients, the results were less favorable. This confirms that even with a better quality of ultrasound equipment, it is still difficult to precisely determine the advanced stages of pancreatic carcinoma and its resectability.…”

Section: Patients and Methods Patient Selectionmentioning

confidence: 87%

“…Based on the previously published reports, the accuracy of abdominal ultrasonography in detecting pancreatic tumors ranges between 75% and 95%. 5,13,[19][20][21][22][23][24][25] Our results show that the efficacy of ultrasound examination in detecting pancreatic cancer is only slightly lower than that of other imaging methods such as MRI or 64 -slice multi detector row CT the majority of our patients, pancreaticoduodenectomy had not been performed in the case of major vessel infiltration.…”

Section: Discussion Diagnostic Accuracy For Establishing T Categoriesmentioning

confidence: 99%

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Role of abdominal ultrasonography in clinical staging of pancreatic carcinoma: a tertiary center experience

Kulig¹,

Pach²,

Kulig³

2014

Polish Archives of Internal Medicine

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INTROduCTIONPancreatic carcinoma remains one of the leading causes of cancer -related deaths in the world. In the years from 2000 to 2009, the incidence rate in the United States increased by 0.9% per year and the death rate increased by 0.5% per year.1 The overall 5 -year survival rate reported worldwide does not exceed 5%. Even for patients with a tumor that has been surgically removed, the 5 -year survival is only about 20% to 25%. In 2009 in Poland, pancreatic cancer was the second cause of death due to malignant gastrointestinal neoplasms in women and the third one in men. 2Over the years, various radiological imaging modalities have been used for the diagnosis and staging of pancreatic cancer, including abdominal ultrasonography, computed tomography (CT), magnetic resonance imaging (MRI), laparoscopy, and endoscopic ultrasonography.Currently, thin -section, contrast -enhanced multi -detector CT is regarded as the investigation of choice in patients with pancreatic cancer. The sensitivity of CT in detecting pancreatic cancer is between 75% and 100% with specificity of 70% to 100%.3,4 MRI has been proved to be effective in the diagnosis and staging of pancreatic cancers; therefore, it should be used in centers where these facilities are readily available. Positron emission tomography-CT is a useful complementary investigation to exclude metastases outside the abdomen. Staging laparoscopy and laparoscopic ultrasonography are important in the restaging of locally advanced lesions after neoadjuvant therapy.3 However, in view of wide availability, noninvasiveness, low cost, and relatively high diagnostic accuracy, abdominal ultrasonography is routinely used as the first -line diagnostic modality in pancreatic cancer, and its sensitivity ORIGINAL ARTICLERole of abdominal ultrasonography in clinical staging of pancreatic carcinoma: a tertiary center experience Piotr Kulig, Radosław Pach, Jan Kulig 1st Department of General Surgery, Jagiellonian University Medical College, Kraków, PolandCorrespondence to: dr n. med. Radoslaw Pach, I Katedra Chirurgii Ogólnej, Uniwersytet Jagielloński, Collegium Medicum, ul. Kopernika 40, Poland, AbsTRACTINTROduCTION Various imaging modalities are used for the diagnosis and staging of pancreatic cancer. Abdominal ultrasonography is the most widely available method and usually the first -line diagnostic tool used in patients with suspicion of pancreatic carcinoma.

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Section: Patients and Methods Patient Selectionmentioning

confidence: 87%

Section: Discussion Diagnostic Accuracy For Establishing T Categoriesmentioning

confidence: 99%

Role of abdominal ultrasonography in clinical staging of pancreatic carcinoma: a tertiary center experience

Kulig¹,

Pach²,

Kulig³

2014

Polish Archives of Internal Medicine

Self Cite

View full text Add to dashboard Cite

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Composite pheochromocytoma masquerading as solid-pseudopapillary neoplasm of pancreas

Gupta

Saran

Godhi

et al. 2015

WJCC

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Pheochromocytoma and ganglioneuroma form rare composite tumours of the adrenal medulla comprising less than 3% of all sympathoadrenal tumours. We present a case of intraoperatively detected adrenal medullary tumour of composite pheochromocytoma and ganglioneuroma diagnosed on histopathology, in a normotensive patient. A 50-year-old male with a past history of chronic obstructive pulmonary disease presented with abdominal pain and significant weight loss since one month. Ultrasound and contrast-enhanced computed tomography abdomen revealed a large lobulated lesion in the distal body and tail of pancreas suggestive of solid and papillary neoplasm of body and tail of pancreas. Intra-operatively, a 15 cm × 10 cm solid lesion with cystic areas was seen arising from the left lower pole of the adrenal gland pushing the pancreas which appeared unremarkable. In our case, exploratory laparotomy with tumour excision was done. Extensive sectioning and microscopic examination of this adrenal tumour confirmed a diagnosis of composite Pheochromocytoma with Ganglioneuroma on histopathology. Immunophenotyping with S-100 further supported the diagnosis. The goal of this report is to increase the awareness of this rare disease and to further identify its variable presentation.

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Abdominal Ultrasonography in Detecting and Surgical Treatment of Pancreatic Carcinoma

Abstract: Percutaneous abdominal ultrasonography has high diagnostic accuracy in diagnosis, staging and predicting surgical treatment of patients with pancreatic carcinoma.

Cited by 2 publications

References 26 publications

Role of abdominal ultrasonography in clinical staging of pancreatic carcinoma: a tertiary center experience

Role of abdominal ultrasonography in clinical staging of pancreatic carcinoma: a tertiary center experience

Composite pheochromocytoma masquerading as solid-pseudopapillary neoplasm of pancreas

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