The role of pancreatography in differential diagnosis between chronic pancreatitis and pancreatic cancer

P. A. Testoni; E. Masci; M. Guslandi; A. Tittobello

doi:10.1007/BF02970415

The role of pancreatography in differential diagnosis between chronic pancreatitis and pancreatic cancer

P. A. Testoni, E. Masci, M. Guslandi, A. Tittobello

IRCCS Ospedale San Raffaele

Research output: Contribution to journal › Article › peer-review

Abstract

Pancreatograms obtained in 65 patients - undergone ERCP for suspected chronic pancreatic disease and subsequent pancreatic surgery - were compared with histopathological features in order to verify the ERP usefulness in the differential diagnosis between chronic pancreatitis and pancreatic cancer. Accordance between radiological and surgical diagnosis failed to be achieved in 4 cases, because of the overlap between lesions in advanced chronic pancreatitis and pancreatic cancer. Reexamination of radiological findings of the 4 patients showed that the morphology of the post-obstructive part of the main pancreatic duct was useful for differential diagnosis. Therefore, in order to further improve the diagnostic value of ERCP, the importance of that morphological parameter should be pointed out.

Original language	English
Pages (from-to)	435-441
Number of pages	7
Journal	Acta Endoscopica
Volume	11
Issue number	6
DOIs	https://doi.org/10.1007/BF02970415
Publication status	Published - Nov 1981

Keywords

chronic pancreatitis
differential diagnosis
ERCP
pancreatic cancer

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging
Medicine(all)

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abstract = "Pancreatograms obtained in 65 patients - undergone ERCP for suspected chronic pancreatic disease and subsequent pancreatic surgery - were compared with histopathological features in order to verify the ERP usefulness in the differential diagnosis between chronic pancreatitis and pancreatic cancer. Accordance between radiological and surgical diagnosis failed to be achieved in 4 cases, because of the overlap between lesions in advanced chronic pancreatitis and pancreatic cancer. Reexamination of radiological findings of the 4 patients showed that the morphology of the post-obstructive part of the main pancreatic duct was useful for differential diagnosis. Therefore, in order to further improve the diagnostic value of ERCP, the importance of that morphological parameter should be pointed out.",

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N2 - Pancreatograms obtained in 65 patients - undergone ERCP for suspected chronic pancreatic disease and subsequent pancreatic surgery - were compared with histopathological features in order to verify the ERP usefulness in the differential diagnosis between chronic pancreatitis and pancreatic cancer. Accordance between radiological and surgical diagnosis failed to be achieved in 4 cases, because of the overlap between lesions in advanced chronic pancreatitis and pancreatic cancer. Reexamination of radiological findings of the 4 patients showed that the morphology of the post-obstructive part of the main pancreatic duct was useful for differential diagnosis. Therefore, in order to further improve the diagnostic value of ERCP, the importance of that morphological parameter should be pointed out.

AB - Pancreatograms obtained in 65 patients - undergone ERCP for suspected chronic pancreatic disease and subsequent pancreatic surgery - were compared with histopathological features in order to verify the ERP usefulness in the differential diagnosis between chronic pancreatitis and pancreatic cancer. Accordance between radiological and surgical diagnosis failed to be achieved in 4 cases, because of the overlap between lesions in advanced chronic pancreatitis and pancreatic cancer. Reexamination of radiological findings of the 4 patients showed that the morphology of the post-obstructive part of the main pancreatic duct was useful for differential diagnosis. Therefore, in order to further improve the diagnostic value of ERCP, the importance of that morphological parameter should be pointed out.

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