Premium
ENDOSCOPIC ULTRASOUND STAGING OF PANCREATIC CANCER
Author(s) -
Van Dam Jacques
Publication year - 2004
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1111/j.1443-1661.2004.00442.x
Subject(s) - medicine , pancreatic cancer , endoscopic ultrasound , radiology , endoscopic ultrasonography , modality (human–computer interaction) , pancreas , cancer staging , cancer , endoscopy , human–computer interaction , computer science
The pancreatic cancer tumor remains difficult to cure in its advanced form making early diagnosis and accurate staging essential. There is debate regarding the single best diagnostic or staging modality as well as the best approach in imaging patients with pancreatic cancer. Methods: The recent literature regarding the staging of patients with pancreatic cancer was reviewed. Special attention was directed to comparative trials of imaging modalities that included endoscopic ultrasonography (EUS). Results: EUS accuracy ranges from 78–94% for pancreatic tumor staging and from 64–82% for nodal staging. EUS remains the most sensitive imaging modality for small pancreatic tumors. Conclusion: EUS remains the preferred imaging modality in many patients with pancreatic cancer by virtue of its ability to detect even the smallest lesions, determine the presence of vascular involvement, and acquire tissue of primary tumors, lymph nodes and distant metastases. Continued advances in ultrasound imaging and fine needle aspiration techniques will improve the yield of EUS. Interventional applications of EUS in patients with pancreatic tumors will provide an expanding role for EUS in the future.