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Detection and tumor staging of malignancy in cystic, intraductal, and solid tumors of the pancreas by EUS.
- Source :
-
Gastrointestinal endoscopy [Gastrointest Endosc] 2001 Jun; Vol. 53 (7), pp. 722-7. - Publication Year :
- 2001
-
Abstract
- Background: EUS can provide detailed imaging of pancreatic malignancies and direct fine needle aspiration (FNA) of pancreatic masses. The ability of EUS to detect and stage malignancy in cystic and intraductal lesions has not been investigated. Our aim was to determine the sensitivity and specificity of EUS imaging and FNA in detecting and staging of malignancy in solid, cystic, and intraductal lesions of the pancreas.<br />Methods: The records of 96 patients (46 solid, 26 cystic, 24 intraductal lesions) who underwent EUS followed by surgical exploration over a 3-year period were reviewed. The accuracy of EUS for detecting and staging malignancy was calculated based on the results of surgery and histology.<br />Results: EUS-guided FNA provided evidence of malignancy in solid, cystic, and ductal lesions with sensitivities of 59.5%, 50%, and 60%, respectively. The accuracy of staging by EUS was significantly less for intraductal lesions (47%), compared with cystic (100%) and solid lesions (85%) (p < 0. 05).<br />Conclusions: EUS can be used to detect malignancy in cystic and intraductal tumors of the pancreas.
- Subjects :
- Adenocarcinoma surgery
Adult
Aged
Biopsy, Needle
Diagnosis, Differential
Female
Humans
Male
Middle Aged
Neoplasm Staging
Pancreatic Cyst surgery
Pancreatic Ducts diagnostic imaging
Pancreatic Neoplasms surgery
Predictive Value of Tests
Probability
Prognosis
Retrospective Studies
Sensitivity and Specificity
Adenocarcinoma diagnostic imaging
Adenocarcinoma pathology
Endosonography methods
Pancreatic Cyst diagnostic imaging
Pancreatic Cyst pathology
Pancreatic Ducts pathology
Pancreatic Neoplasms diagnostic imaging
Pancreatic Neoplasms pathology
Subjects
Details
- Language :
- English
- ISSN :
- 0016-5107
- Volume :
- 53
- Issue :
- 7
- Database :
- MEDLINE
- Journal :
- Gastrointestinal endoscopy
- Publication Type :
- Academic Journal
- Accession number :
- 11375578
- Full Text :
- https://doi.org/10.1067/mge.2001.114783