Application of endoscopic ultrasonography on diagnosis of vascular involvement for pancreatic cancer
10.3760/cma.j.issn.1007-5232.2019.09.011
- VernacularTitle: 内镜超声对胰腺癌血管侵犯的效能评估研究
- Author:
Sijie HAO
1
;
Hang HE
1
;
Feng YANG
1
;
Yang DI
1
;
Yuqin JIN
2
;
Chen JIN
1
;
Deliang FU
1
;
Liang ZHONG
2
Author Information
1. Department of Pancreatic Surgery, Huashan Hospital, Fudan University, Shanghai 200040, China
2. Department of Endoscopy Center, Huashan Hospital, Fudan University, Shanghai 200040, China
- Publication Type:Journal Article
- Keywords:
Pancreatic neoplasms;
Endoscopic ultrasonography;
Vascular involvement
- From:
Chinese Journal of Digestive Endoscopy
2019;36(9):666-670
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the diagnostic efficiency and accuracy of endoscopic ultrasonography (EUS) on vascular involvement of pancreatic cancer.
Methods:Patients, suspected pancreatic cancer with vascular involvement by CT scan in Huashan Hospital, Fudan University from January 2014 to March 2019, were enrolled prospectively in the study. EUS was performed to evaluate the vascular involvement compared with surgical pathological results.
Results:A total of 132 patients with pancreatic cancer were enrolled in the study, and they all underwent EUS observation and radical resection with vessels resection. There were 103 cases of cancer in pancreatic head, 19 cancers in pancreatic neck and 10 cancers in distal pancreas. The diagnostic sensitivity, specificity and accuracy of EUS was 97.4% (113/116), 81.2% (13/16), and 95.5% (126/132), respectively for pancreatic cancers with vein involvement; while was 33.3% (2/6), 90.0% (81/90), and 86.5% (83/96), respectively, for pancreatic cancers with superior mesentery artery involvement.
Conclusion:EUS may play a key role in diagnosis of vascular involvement of pancreatic cancer, and be helpful for the surgical decision marking.
