Abstract
Differential diagnosis between pancreatic cancer and chronic pancreatitis is still difficult to establish. In 63 patients with suspected pancreatic neoplasm we performed: serum CA 19-9 assessment, abdominal ultrasound, CT scan and CT-guided pancreatic percutaneous fine-needle biopsy. The conclusive diagnosis was pancreatic cancer in 40 patients and chronic pancreatitis in 23 patients. With regard to the differential diagnosis, sensitivity and specificity were respectively 80% and 78% for serum CA 19-9, 75% and 65% for abdominal US, 85% and 70% for CT scan, 00% and 87% for percutaneous fine-needle biopsy. We conclude that CT-guided percutaneous fine-needle biopsy is the most reliable method for differential diagnosis between pancreatic cancer and chronic pancreatitis.
Original language | English |
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Pages (from-to) | 309-317 |
Number of pages | 9 |
Journal | HPB Surgery |
Volume | 1 |
Issue number | 4 |
Publication status | Published - 1989 |
Keywords
- chronic pancreatitis
- CT scan
- fine-needle biopsy
- pancreatic cancer
ASJC Scopus subject areas
- Hepatology
- Surgery