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Journal of gastrointestinal cancer
Mar, 2022;53 (1): 197-203.

Endoscopic Ultrasonography is a Promising Tool for Preoperative Prediction of the Operability of Pancreatic Carcinoma.

Tarek Ezzat Abdellatif, Khaled Safwat, Hazem Hakim Elmenshawy, Wael Abdalla, Sameh Mohamed Naguib
Author Information
  1. Tarek Ezzat Abdellatif: General Surgery Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
  2. Khaled Safwat: General Surgery Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
  3. Hazem Hakim Elmenshawy: Faculty of Medicine, Mansoura University, Mansoura, Egypt.
  4. Wael Abdalla: General Surgery Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
  5. Sameh Mohamed Naguib: General Surgery Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt. samehnaguibsurgery@gmail.com.
PMID: 33411255 DOI: 10.1007/s12029-020-00567-w

Abstract

This work discussed the efficiency of endoscopic ultrasonography (EUS) as a diagnostic modality for early detection of pancreatic cancer. The present study was constructed by doing imaging modalities EUS on 24 patients admitted to surgery department in the faculty of medicine with suspected pancreatic malignancy. Pancreatic cancer was found more in older ages above 55 years predominately in males coming from rural areas presenting with abdominal pain with or without jaundice. Histopathological examination revealed that ductal adenocarcinoma represented by 70.83% of cases. This study also shows significant elevation in serum CA19-9 in the presenting cases to confirm a close relation between cancer pancreas and CA19-9 as a good biochemical marker for PC. EUS was found to be able to detect masses less than 20 mm in diameter. Moreover, EUS can accurately detect the mass nature. EUS showed correct information as regards lymph node involvement and vascular invasion which affected the results of respectability of pancreatic masses. Finally, this study clearly showed that EUS is an accurate pre-operative tool in the assessment of nodal staging, vascular invasion, and respectability in patients with pancreatic adenocarcinoma.

Keywords

Endoscopic ultrasonography Pancreatic cancer Pre-operative diagnosis

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MeSH Term

Adenocarcinoma
Endosonography
Humans
Male
Neoplasm Staging
Pancreatic Neoplasms
Ultrasonography
Journal Article
Article has an altmetric score of 1

Word Cloud

Created with Highcharts 10.0.0EUSpancreaticcancerstudyPancreaticultrasonographypatientsfoundpresentingadenocarcinomacasesCA19-9detectmassesshowedvascularinvasionrespectabilityEndoscopicworkdiscussedefficiencyendoscopicdiagnosticmodalityearlydetectionpresentconstructedimagingmodalities24admittedsurgerydepartmentfacultymedicinesuspectedmalignancyolderages55yearspredominatelymalescomingruralareasabdominalpainwithoutjaundiceHistopathologicalexaminationrevealedductalrepresented7083%alsoshowssignificantelevationserumconfirmcloserelationpancreasgoodbiochemicalmarkerPCableless20mmdiameterMoreovercanaccuratelymassnaturecorrectinformationregardslymphnodeinvolvementaffectedresultsFinallyclearlyaccuratepre-operativetoolassessmentnodalstagingUltrasonographyPromisingToolPreoperativePredictionOperabilityCarcinomaPre-operativediagnosis

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