CT-Guided Pancreatic Percutaneous Fine-Needle Biopsy in Differential Diagnosis between Pancreatic Cancer and Chronic Pancreatitis. Issue 4 (1989)

• Record Type: Journal Article
• Authors: Carlucci, Michele; Zerbi, Alessandro; Parolini, Danilo; Sironi, Sandro; Vanzulli, Angelo; Staudacher, Carlo; Faravelli, Agostino; Garancini, Paola; del Maschio, Alessandro; di Carlo, Valerio
• Is Part Of: HPB surgery. Volume 1:Issue 4(1989)
• Page Start: 309
• Page End: 317
• Publication Date: 1989
• Subjects: Biliary tract -- Surgery -- Periodicals; Liver -- Surgery -- Periodicals; Pancreas -- Surgery -- Periodicals; 617.55
• DOI: 10.1155/1989/84039
• Languages: English
• ISSNs: 0894-8569

Abstract

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.