skip to main content
Guest
My Research
My Account
Sign out
Sign in
This feature requires javascript
Library Search
Find Databases
Browse Search
E-Journals A-Z
E-Books A-Z
Citation Linker
Help
Language:
English
Vietnamese
This feature required javascript
This feature requires javascript
Primo Search
All Library Resources
All
Course Materials
Course Materials
Search For:
Clear Search Box
Search in:
All Library Resources
Or hit Enter to replace search target
Or select another collection:
Search in:
All Library Resources
Search in:
Print Resources
Search in:
Digital Resources
Search in:
Online E-Resources
Advanced Search
Browse Search
This feature requires javascript
Search Limited to:
Search Limited to:
Resource type
criteria input
All items
Books
Articles
Images
Audio Visual
Maps
Graduate theses
Show Results with:
criteria input
that contain my query words
with my exact phrase
starts with
Show Results with:
Search type Index
criteria input
anywhere in the record
in the title
as author/creator
in subject
Full Text
ISBN
ISSN
TOC
Keyword
Field
Show Results with:
in the title
Show Results with:
anywhere in the record
in the title
as author/creator
in subject
Full Text
ISBN
ISSN
TOC
Keyword
Field
This feature requires javascript
Differential diagnosis between chronic pancreatitis and pancreatic cancer: a prospective study of 156 patients
Medicina (Kaunas, Lithuania), 2011, Vol.47 (3), p.154-162
[Peer Reviewed Journal]
EISSN: 1648-9144 ;PMID: 21822037
Full text available
Citations
Cited by
View Online
Details
Recommendations
Reviews
Times Cited
External Links
This feature requires javascript
Actions
Add to My Research
Remove from My Research
E-mail
Print
Permalink
Citation
EasyBib
EndNote
RefWorks
Delicious
Export RIS
Export BibTeX
This feature requires javascript
Title:
Differential diagnosis between chronic pancreatitis and pancreatic cancer: a prospective study of 156 patients
Author:
Brimienė, Vilma
;
Brimas, Gintautas
;
Strupas, Kęstutis
Subjects:
Adenocarcinoma - diagnosis
;
Adenocarcinoma - metabolism
;
Adenocarcinoma - pathology
;
Adenocarcinoma - physiopathology
;
Adult
;
Aged
;
Aged, 80 and over
;
Biomarkers, Tumor - analysis
;
Diagnosis, Differential
;
Endosonography
;
Female
;
Humans
;
Lymphatic Metastasis
;
Male
;
Middle Aged
;
Pancreatic Neoplasms - diagnosis
;
Pancreatic Neoplasms - metabolism
;
Pancreatic Neoplasms - pathology
;
Pancreatic Neoplasms - physiopathology
;
Pancreatitis, Chronic - diagnosis
;
Pancreatitis, Chronic - metabolism
;
Pancreatitis, Chronic - pathology
;
Pancreatitis, Chronic - physiopathology
;
Tomography, X-Ray Computed
Is Part Of:
Medicina (Kaunas, Lithuania), 2011, Vol.47 (3), p.154-162
Description:
The aim of this study was to evaluate prospectively the efficacy of different imaging methods in differentiating between chronic pancreatitis and cancer in focal pancreatic lesions and staging of adenocarcinoma. MATERIAL AND METHODS. Between June 2005 and October 2007, 156 consecutive patients were enrolled into the prospective clinical trial. The patients were randomized into two groups. Ultrasonoscopy and endoscopic ultrasound were performed in both the groups. Group A patients were additionally examined by computed tomography and tumor marker assay, while in the group B, intraoperative ultrasonoscopy with biopsy and urgent histological examination were done. Results of each imaging technique regarding differential diagnosis and cancer stage were compared with the findings of surgical and histological examination. RESULTS. Chronic pancreatitis and adenocarcinoma were documented in 58 (37.2%) and 78 (50%) patients, respectively. The size of the lesions and clinical presentation were similar in both the groups, but cancer patients were older than patients with pancreatitis (P<0.001). Preoperatively endosonoscopy had the highest accuracy in assessing differential diagnosis (92.1%) and adenocarcinoma (91.8%), whereas computed tomography had the highest accuracy in assessing tumor size (84.5%) and transabdominal ultrasonography in assessing lymph node involvement (78.9%) and distant metastases (88.6%). Intraoperative ultrasound was the most accurate imaging technique in the assessment of differential diagnosis (100%), adenocarcinoma (98.5%), extent of primary tumor (84.8%), lymph node involvement (87.9%), and distant metastases (100%). CONCLUSIONS. In the differential diagnosis between chronic pancreatitis and adenocarcinoma, preoperative ultrasonography and intraoperative ultrasound are the best imaging methods. When ultrasonography is nondiagnostic, computed tomography and endoscopic ultrasound are alternative techniques.
Publisher:
Switzerland
Language:
English;Lithuanian
Identifier:
EISSN: 1648-9144
PMID: 21822037
Source:
MEDLINE
DOAJ Directory of Open Access Journals
This feature requires javascript
This feature requires javascript
Back to results list
This feature requires javascript
This feature requires javascript
Searching Remote Databases, Please Wait
Searching for
in
scope:(TDTS),scope:(SFX),scope:(TDT),scope:(SEN),primo_central_multiple_fe
Show me what you have so far
This feature requires javascript
This feature requires javascript