Evaluation of Imaging Examinations in the Diagnosis of Periampullary Carcinoma
- VernacularTitle:影像学检查在壶腹周围癌诊断中的应用价值
- Author:
Guohua HU
- Publication Type:Journal Article
- Keywords:
Imaging examination Periampu llary carcinoma Diagnosis
- From:
Chinese Journal of Bases and Clinics in General Surgery
2003;0(05):-
- CountryChina
- Language:Chinese
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Abstract:
Objective To evaluate the imaging exa mination in the diagnosis of periampullary carcinoma. Methods A retrospective analysis of 125 patient s with pathologically proven periampullary carcinomas enrolled in Zhongshan hosp ital between Jan. 1991 and Dec. 2000. Results The accuracy of BUS or CT was higher th an that of ERCP in patients with pancreatic head carcinoma ( P =0.044, P =0. 029, respectively). The accuracy of ERCP was higher than that of BUS or CT in pa tients with duodenal papillary carcinoma ( P =0.005, P =0.03, respectively). The accuracy of ERCP was higher than that of BUS or CT in patients with ampulla ry carcinoma ( P =0.157, P =0.282, respectively). The accurary of MRCP was 8 /8,8/9 respectively in patients with duodenal papillary carcinoma and ampullary carcinoma. Conclusion BUS+CT is the manner of choice in th e diagnosis of pancreatic head carcinoma, ERCP is suitable for nonpancreatic per iampullary cancer. MRCP should be applied widely in the near future.
