1. Discriminant analysis in diagnosing carcinoma of the pancreas and of the papilla of Vater
- Author
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Maurizio Soresi, Luigi Greco, Pasquale Salvo, Giuseppe Montalto, Antonio Carroccio, L. Ficano, and Francesco D'Arpa
- Subjects
medicine.medical_specialty ,Constipation ,Hepatology ,business.industry ,Nausea ,Anorexia ,medicine.disease ,Gastroenterology ,Major duodenal papilla ,Endocrinology ,Weight loss ,Internal medicine ,Carcinoma ,Vomiting ,Medicine ,Surgery ,medicine.symptom ,business - Abstract
The clinical and biochemical presentation of carcinoma of the pancreas (PC) and of the papilla of Vater (CPV) are very similar, and, consequently, detailed investigations are required to correctly distinguish between them. The aim of the present study was to select the clinical and biochemical variables that would most efficiently discriminate the precise site of tumor origin. The study group consisted of 72 patients with PC and 22 patients with CPV consecutively hospitalized in our department. The following clinical parameters were considered: age, asthenia, anorexia, vomiting, weight loss, pain, fever, pruritis, and constipation; the biochemical parameters considered were total, direct, and indirect bilirubin, glucose, alkaline phosphatase, gamma glutamy transferase, transaminase, total protein, amylase, and occult blood in stools. The results indicated that in the initial phase of PC the most frequent clinical parameters were weight loss (P
- Published
- 1994
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