PMID: 11914153Mar 27, 2002Paper

Is endosonography an effective method for detection and local staging of the ampullary carcinoma? A prospective study

BMC Surgery
P SkordilisE Kouroumalis

Abstract

The relatively rare carcinoma of the ampulla of Vater is a neoplasia with a good prognosis compared to pancreatic cancer. Preoperative staging is important in planning the most suitable surgical intervention. To prospectively evaluate the diagnostic accuracy of Endoscopic Ultrasonography (EUS) in comparison with conventional US and CT scan, in staging of patients with ampullary carcinoma. 20 patients (7 women and 13 men) with histologically proven carcinoma of the ampulla of Vater were assessed by EUS, CT scan and US. Results were compared to surgical findings. Endoscopic biopsies were diagnostic in 76% of the patients. Detection of ampullary cancer with US and CT scan was 15% and 20% respectively. Only indirect signs of the disease were identified in the majority of cases using these methods. Overall accuracy of EUS in detection of ampullary tumours was 100%. The EUS was significantly (p < 0.001) superior than US and CT scan in ampullary carcinoma detection. Tumour size, tumour extension and the existence of metastatic lymph nodes were also identified and EUS proved to be very useful for the preoperative classification both for the T and the N components of the TNM staging of this neoplasia. The diagnostic accuracy for tumour ...Continue Reading

References

Nov 1, 1990·Gastrointestinal Endoscopy·K YamaguchiK Kitamura
Nov 1, 1994·Endoscopy·T L Tio, G E Kallimanis
Jul 1, 1994·Gastrointestinal Endoscopy·M F CatalanoJ Van Dam
Apr 1, 1996·Archives of Surgery·D W RattnerA L Warshaw
Apr 1, 1996·Scandinavian Journal of Gastroenterology·M Stolte, C Pscherer
Nov 14, 1997·Gastrointestinal Endoscopy·D M QuirkW R Brugge
Oct 3, 1999·The British Journal of Radiology·H KuboH Nawata
Oct 26, 1999·The European Journal of Surgery = Acta Chirurgica·F J SellnerE Machacek
Dec 10, 1999·European Journal of Ultrasound : Official Journal of the European Federation of Societies for Ultrasound in Medicine and Biology·J Menzel, W Domschke
Dec 10, 1999·Annals of Oncology : Official Journal of the European Society for Medical Oncology·J MenzelW Domschke
Feb 16, 2000·HPB Surgery : a World Journal of Hepatic, Pancreatic and Biliary Surgery·C HoyuelaC Marco
Mar 4, 2000·Endoscopy·A Chak
Mar 4, 2000·AJR. American Journal of Roentgenology·Y YamadaT Maeda

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Citations

Aug 30, 2008·Journal of Clinical Ultrasound : JCU·Chien-Hua ChenChiu-Kue Nien
Dec 9, 2014·Hospital Practice·Sarah R Ahmad, Douglas G Adler
Jul 18, 2015·World Journal of Gastroenterology : WJG·Francesca PanzeriMassimo Falconi
Dec 2, 2004·The American Journal of Gastroenterology·Michel KahalehPaul Yeaton
Feb 20, 2010·Current Opinion in Gastroenterology·Stefan Heinrich, Pierre-Alain Clavien
Jan 24, 2013·Journal of Clinical Gastroenterology·Mihir R BakhruMichel Kahaleh
Nov 9, 2011·Journal of Clinical Gastroenterology·Roshan PatelC Mel Wilcox
Sep 22, 2012·Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology·Eric WeeDuvvuru Nageshwar Reddy
Feb 19, 2014·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Guru TrikudanathanAasma Shaukat
Jan 26, 2013·ANZ Journal of Surgery·Xiang-Qian ZhaoZhe Liu
Apr 3, 2012·World Journal of Gastrointestinal Oncology·Adriana RomitiPaolo Marchetti
Dec 14, 2016·Middle East Journal of Digestive Diseases·Rasoul SotoudehmaneshShadi Kolahdoozan
Jan 26, 2020·Clinical Journal of Gastroenterology·Chisaki IkedaYoshiyuki Ueno
Mar 6, 2019·Journal of Digestive Diseases·Chun Yan PengXiao Ping Zou
Feb 8, 2020·Therapeutic Advances in Gastrointestinal Endoscopy·Jan-Werner Poley, Sara Campos
Nov 2, 2007·Advances in Surgery·Julia K LeBlancStuart Sherman

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