Endosonography and cytology in diagnosing and staging pancreatic body and tail carcinoma: Preliminary results of endosonographic guided puncture
- Georgetown Univ. Medical Center, Washington, DC (United States) Academic Medical Center, Amsterdam (Netherlands)
Endosonography was performed in diagnosing and staging pancreatic body and tail carcinoma in two patients. In the first case endoscopy, abdominal ultrasound, and computed tomography were nondiagnostic in diagnosing the origin of submucosal gastric abnormalities. Endosonography diagnosed a pancreatic tail carcinoma with submucosal gastric involvement, and this was confirmed by endosonographic-guided cytology. Fundus varices due to segmented splenic vein involvement were found. Surgery was not recommended due to the advanced disease. In the second case pancreatic body carcinoma was diagnosed by ERCP and computed tomography. Transcutaneous ultrasonographic-guided cytological puncture confirmed the diagnosis. Endosonography revealed additional information of segmental portal hypertension with fundic varices due to splenic vein involvement. Autopsy confirmed the endosonographic diagnosis. 18 refs., 5 figs.
- OSTI ID:
- 6894283
- Journal Information:
- Digestive Diseases and Sciences; (United States), Vol. 38:1; ISSN 0163-2116
- Country of Publication:
- United States
- Language:
- English
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DIAGNOSTIC TECHNIQUES
COMPARATIVE EVALUATIONS
PANCREAS
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ULTRASONOGRAPHY
AUTOPSY
BODY
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CYTOLOGY
DIAGNOSIS
HYPERTENSION
ORIGIN
PATIENTS
BIOLOGY
CARDIOVASCULAR DISEASES
DIGESTIVE SYSTEM
DISEASES
ENDOCRINE GLANDS
EVALUATION
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VASCULAR DISEASES
550602* - Medicine- External Radiation in Diagnostics- (1980-)