Arabul M, Karakus F, Alper E, Kandemir A, Celik M, Karakus V, Yucel K, Unsal B. Comparison of multidetector CT and endoscopic ultrasonography in malignant pancreatic mass lesions.
ACTA ACUST UNITED AC 2012;
59:1599-603. [PMID:
22155849 DOI:
10.5754/hge11608]
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Abstract
BACKGROUND/AIMS
Endoscopic ultrasonography (EUS) has been shown to be superior to conventional CT in detecting and staging pancreatic cancer. We conducted a prospective trial to compare EUS and MDCT, in discriminating benign/malignant, in determining local and vascular invasion of a suspected pancreatic cancer and deciding its resectability.
METHODOLOGY
The study was performed at the Gastroenterology Department of Izmir Ataturk Training and Research Hospital, from June 2009 to June 2010, all patients with suspected pancreatic and periampullary tumors referred to our department were enrolled. A total of 56 patients were evaluated at the beginning. Five patients having distal CBD tumor (n=2), gallbladder tumor (n=1) and papillary tumor (n=2) were excluded from the study. Analysis was done for the remaining 51 patients.
RESULTS
For the diagnosis of resectability/unresectability, EUS alone demonstrated a definite role in 4 (9%) of the 43 patients in confirming surgical and pathologic results and MDCT alone demonstrated a definite role in 6 (14%) of the 43 patients in confirming their results. An accurate diagnostic decision regarding resectability/unresectability was accomplished in 27 (63%) patients with EUS and MDCT.
CONCLUSIONS
While MDCT is clinically quite effective, in terms of a correct resectability/unresectability decision, EUS should also be used.
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