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Surgical Endoscopy
Published in: Surgical Endoscopy 3/2005

01-03-2005 | Original article

The value of imaging techniques in the staging of pancreatic cancer

Authors: J. Kulig, T. Popiela, A. Zając, S. Kłęk, P. Kołodziejczyk

Published in: Surgical Endoscopy | Issue 3/2005

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Abstract

Background

The aim of this study was to assess the clinical value of endoscopic ultrasound (EUS) in the staging of pancreatic carcinoma and to compare it to ultrasonography (US) and CT.

Methods

We evaluated 45 patients (21 women and 24 men with a mean age of 62.1 years) who had undergone surgical treatment for pancreatic cancer between 1994 and 2004. Out analysis focused on the overall accuracy, sensitivity, and specificity of routine and Doppler US, CT, and EUS.

Results

Endoscopic ultrasound was the most accurate modality for local tumor staging (93.1%), vascular infiltration (90%), and lymph node assessment (87.5%). Routine US was the least accurate (82.5%, 67.5%, and 72.5%, respectively). The accuracy rates for CT and Doppler US were similar (88.1%, 82.5% and 80.0%, respectively).

Conclusions

Endoscopic ultrasound is the most accurate method available to stage pancreatic cancer in the preoperative period. However, the advantage of EUS over CT and US does not justify its routine use due to its high cost, low availability, and invasiveness.
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Metadata
Title
The value of imaging techniques in the staging of pancreatic cancer
Authors
J. Kulig
T. Popiela
A. Zając
S. Kłęk
P. Kołodziejczyk
Publication date
01-03-2005
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 3/2005
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-004-9056-x

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