Endosonographic workup and preoperative biliary drainage for pancreatic cancer

Seminars in Oncology
Harkirat Singh, Ali A Siddiqui

Abstract

Computed tomography (CT) is the primary imaging modality for initial evaluation of pancreatic cancer (PC). Endoscopic ultrasound (EUS) has a higher sensitivity for detection of PC and is better especially for lesions<3 cm. It should be the next step if the CT scan is indeterminate, or negative in the presence of high suspicion of PC based on clinical and laboratory data. EUS-guided fine-needle aspiration (FNA) should be performed for lesions found on EUS after negative or indeterminate CT, for borderline resectable pancreatic cancer (BRPC) and unresectable cancer, or if the patient is being considered for neoadjuvant or palliative chemotherapy. EUS elastography and contrast-enhanced harmonic EUS are new and promising EUS technologies that may detect lesions missed by other modalities and may help guide EUS-FNA to target lesions.

References

Apr 16, 1998·Gut·W D ClementsB J Rowlands
Feb 21, 2004·AJR. American Journal of Roentgenology·Yulia Lisenko BronsteinChusilp Charnsangavej
Apr 22, 2004·Endoscopy·M S BhutaniUNKNOWN No Endosonographic Detection of Tumor (NEST) Study
Apr 28, 2005·Gastrointestinal Endoscopy·John DeWittFrank Gress
Apr 28, 2005·Gastrointestinal Endoscopy·Mohamad A Eloubeidi, Ashutosh Tamhane
Nov 5, 2005·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·John T MullenDouglas B Evans
Dec 20, 2005·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Victor K ChenTodd H Baron
Jan 25, 2006·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Sammy HoFrank Gress
Jul 26, 2006·Annals of Surgical Oncology·Gauri R VaradhacharyRobert A Wolff
Dec 28, 2006·Scandinavian Journal of Gastroenterology·Mikael LjungdahlUlf Haglund
Feb 28, 2008·Topics in Magnetic Resonance Imaging : TMRI·Wolfgang SchimaClaus Koelblinger
Jul 22, 2008·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Douglas B EvansRobert A Wolff
Oct 25, 2008·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Jimmie C Wong, David S K Lu
Aug 19, 2009·Topics in Magnetic Resonance Imaging : TMRI·Busakorn VachiranubhapRichard C Semelka
Jan 15, 2010·The New England Journal of Medicine·Niels A van der GaagDirk J Gouma
Feb 25, 2010·Annals of Surgical Oncology·Stephen B Edge, Carolyn C Compton
May 25, 2010·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Rebecca J McClaineSyed A Ahmad
Jan 22, 2011·World Journal of Gastroenterology : WJG·Yu-Dong QiuYi-Tao Ding
Feb 8, 2011·Gastrointestinal Endoscopy·Kai-Xuan WangZhao-Shen Li
May 31, 2011·Lancet·Audrey VincentMichael Goggins
Aug 30, 2011·Ultraschall in der Medizin : Organ der Deutschen Gesellschaft für Ultraschall in der Medizin, [der] Österreichischen Gesellschaft für Ultraschall in der Medizin, [der] Schweizerischen Gesellschaft für Ultraschall in Medizin und Biologie·F PiscagliaH P Weskott
Jan 18, 2012·Gastrointestinal Endoscopy·Michael Jonathan HewittKevin J Monahan
Jun 19, 2012·Gastrointestinal Endoscopy·Ting-ting GongQi Zhu
Nov 29, 2012·The Cancer Journal·Johanna A M G TolDirk J Gouma
Mar 19, 2013·Gastrointestinal Endoscopy·Pierre H Deprez

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cancer Imaging

Imaging techniques, including CT and MR, have become essential to tumor detection, diagnosis, and monitoring. Here is the latest research on cancer imaging.