Ultrasound in the diagnosis of malignant pancreatic tumours

Engelhart, G. J.; Blauenstein, U. W.

doi:10.1136/gut.11.5.443

Cited by 29 publications

(4 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Patients with possible pathology often undergo upper gastrointestinal examination, hypotonic duodenography , radioisotopic scintiscanning, selective and superselective angography, endoscopic cholangiopancreatography, and most recently, ultrasound examination. Several authors have discussed the echographic diagnosis of pancreatic lesions, and criteria for the diagnosis of inflammatory and neoplastic disease have been established (2)(3)(4)(5)(6)(7)(8)(9).…”

mentioning

confidence: 99%

Pitfalls in the echographic evaluation of pancreatic disease

Sokoloff

Gosink

Leopold

et al. 1974

J of Clinical Ultrasound

View full text Add to dashboard Cite

Ultrasound has gained widespread acceptance in the evaluation of pancreatic disease. Echographic criteria for the diagnosis of pancreatitis, pseudocyst, and pancreatic carcinoma are presented. Additionally, three important areas of difficulty in the echographic evaluation of pancreatic disease are described. Indexing Words Ultrasound PseudocystPancreatitis Pancreas Pancreatic Carcinoma Pancreatic disease presents a major diagnostic problem. Inflammatory disease occurs commonly, and pancreatic carcinoma is the fourth leading cause of cancer deaths in the United States ( 1 ) . The evaluation of pancreatic disease has been unreliable and costly. Patients with possible pathology often undergo upper gastrointestinal examination, hypotonic duodenography , radioisotopic scintiscanning, selective and superselective angography, endoscopic cholangiopancreatography, and most recently, ultrasound examination. Several authors have discussed the echographic diagnosis of pancreatic lesions, and criteria for the diagnosis of inflammatory and neoplastic disease have been established (2-9).Experience with over 5,000 abdominal examinations, of which approximately 20% were performed t o investigate possible pancreatic pathology, forms the basis for this report. Criteria for diagnosis as well as limitations of the method will be described.

show abstract

mentioning

confidence: 99%

Pitfalls in the echographic evaluation of pancreatic disease

Sokoloff

Gosink

Leopold

et al. 1974

J of Clinical Ultrasound

View full text Add to dashboard Cite

show abstract

“…• Ultrasound T H E R E have been a number of reports on the use of diagnostic ultrasound for evaluating the pancreas (4,6,19), but none have involved a large series of proved cases. In addition, no report to date has compared the diagnostic accuracy of ultrasonic B-scanning in pancreatic disease, particularly carcinoma, to other diagnostic modalities such as the upper gastrointestinal series, pancreatic isotope scanning and arteriography.…”

mentioning

confidence: 99%

B-Scan Ultrasound Evaluation of the Pancreas

Walls¹,

Gonzalez²,

Martin³

et al. 1975

Radiology

View full text Add to dashboard Cite

Over 200 patients were examined by B-scan ultrasound for suspected pancreatic disease; in 94 cases a final diagnosis was proved. The diagnostic accuracy of ultrasound, upper gastrointestinal examination, isotope pancreatography, and arteriography is compared. The diagnostic ultrasound features of the various pancreatic disease processes are described. Pancreatic sonography provides the most accurate and least expensive method for evaluating the pancreas with no known patient morbidity. The upper gastrointestinal series and radionuclide study are complementary to sonography. Ultrasound should be the initial examination for the evaluation of patients with suspected pancreatic disease or epigastric mass.

show abstract

“…Since the earliest reports on the use of ultrasound to assess the pancreas (Engelhart and Blauenstein, 1970;Filly and Freimanis, 1970;Russell 1972) there have been many reviews of its value in established pancreatitis (Lutz et al, 1976;Doust and Pearce, 1976), and in pancreatic tumours (Lanz, 1975;Rettenmaier, 1975). Few reports analyse the place of pancreatic ultrasonography (USS) in investigating the patients who present with features which suggest pancreatic disease.…”

mentioning

confidence: 99%

Ultrasonic scanning in pancreatic disease.

Russell¹,

Vallon²,

Braganza³

et al. 1978

Gut

View full text Add to dashboard Cite

SUMMARY We have analysed retrospectively the pancreatic ultrasound scans (using a bistable machine) in 138 consecutive patients, and have related the results to the clinical status and the final diagnosis in each case. The scans were read without knowledge of the patient's clinical state. When technically unsatisfactory scans were excluded from consideration, the overall diagnostic accuracy of ultrasonography proved to be 82 %, with a false positive rate of 8 %. The scan was abnormal in all 10 patients with cancer of the pancreas: a positive diagnosis of cancer was made in six. All patients with chronic pancreatitis in relapse had abnormal scans, but in 53 % the scans were normal in patients in whom the disease was in clinical remission. In seven patients with chronic pancreatitis who suffered relentless pain, the head of the pancreas was swollen and contained cystic areas or emitted abnormal echoes. In acute pancreatitis ultrasonic scanning proved useful in following the progression of the disease to final resolution, or to development of complicating pseudocyst, abscess, or ascites. Random echoes in the early stages of acute pancreatitis are features of haemorrhagic necrosis. In alcoholic relapsing pancreatitis the persistence of abnormal echoes, disposed linearly along the axis of major ducts, suggests the presence of chronic pancreatitis.

show abstract

Ultrasound in the diagnosis of malignant pancreatic tumours

Abstract: SUMMARY Ultrasonic scanning of the upper abdomen is a valuable method in diagnosing malignant pancreatic tumours. A series of 12 patients is presented. The method also provides information about the size of the gallbladder and the condition of the liver parenchyma.

Cited by 29 publications

References 1 publication

Pitfalls in the echographic evaluation of pancreatic disease

Pitfalls in the echographic evaluation of pancreatic disease

B-Scan Ultrasound Evaluation of the Pancreas

Ultrasonic scanning in pancreatic disease.

Contact Info

Product

Resources

About