Routine Chest Computed Tomography for Staging of Pancreatic Head Carcinoma
| Autor: | Koert P. de Jong, Dianne Leeuw, Bobby K Pranger, Joris I. Erdmann, Vincent E de Meijer, Jan Pieter Pennings |
|---|---|
| Přispěvatelé: | Surgery, Guided Treatment in Optimal Selected Cancer Patients (GUTS), Groningen Institute for Organ Transplantation (GIOT), Center for Liver, Digestive and Metabolic Diseases (CLDM) |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
Endocrinology Diabetes and Metabolism THERAPY 0302 clinical medicine Endocrinology pancreas PULMONARY NODULES Netherlands Multiple Pulmonary Nodules Incidence pancreatic neoplasms solitary pulmonary nodule Middle Aged CANCER medicine.anatomical_structure 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Female Radiography Thoracic Radiology Pancreas medicine.medical_specialty RESECTION Malignancy multiple pulmonary nodules 03 medical and health sciences Predictive Value of Tests Pancreatic cancer Internal Medicine medicine Carcinoma x-ray computed tomography Humans Aged Neoplasm Staging Retrospective Studies Solitary pulmonary nodule CONSEQUENCES Hepatology business.industry Cancer Retrospective cohort study ADENOCARCINOMA medicine.disease METASTASES Health Care Surveys PATTERNS business Tomography X-Ray Computed |
| Zdroj: | Pancreas, 49(3), 387-392. Lippincott Williams and Wilkins PANCREAS, 49(3), 387-392. LIPPINCOTT WILLIAMS & WILKINS |
| ISSN: | 0885-3177 |
| Popis: | ObjectivesThe diagnostic value of routine chest computed tomography (CT) in addition to abdominal CT in workup for pancreatic head carcinoma is unclear. The aim of this study was to determine if routine chest CT revealed significant lesions that altered the management of patients with suspected pancreatic head carcinoma.MethodsAll Dutch pancreatic cancer centers were surveyed on the use of chest CT in preoperative staging. In addition, a single-center retrospective cohort study was performed including all patients referred with suspected pancreatic head malignancy without chest CT between 2005 and 2016. The primary end point was the proportion of patients in which chest CT revealed clinically significant lesions, leading to a change in management.ResultsIn 7 of 18 Dutch pancreatic cancer centers (39%), a preoperative chest CT is not routinely performed. In the study cohort, 170 of 848 patients (20%) were referred without chest CT and underwent one by local protocol. Chest CT revealed new suspicious lesions in 17 patients (10%), of whom 6 had metastatic disease (3.5%).ConclusionsRoutine use of chest CT in diagnostic workup for pancreatic head carcinoma reveals clinically significant lesions in 10% of patients, being metastases in up to 4%. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|