Endosonography of Neuroendocrine Tumors of the Stomach, Duodenum, and Pancreas
| Autor: | T. Zimmer, Ulrich Stölzel, K. Ziegler, Rulf-Marco Liehr, Bertram Wiedenmann, Ernst-Otto Riecken |
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| Rok vydání: | 1994 |
| Předmět: |
medicine.medical_specialty
Neuroendocrine tumors Scintigraphy Sensitivity and Specificity General Biochemistry Genetics and Molecular Biology History and Philosophy of Science Duodenal Neoplasms Stomach Neoplasms medicine Humans Gastrointestinal wall Ultrasonography medicine.diagnostic_test business.industry General Neuroscience General surgery Foregut Magnetic resonance imaging medicine.disease Magnetic Resonance Imaging digestive system diseases Pancreatic Neoplasms Neuroendocrine Tumors medicine.anatomical_structure Angiography Radiology Tomography Tomography X-Ray Computed Pancreas business Digestive System |
| Zdroj: | Annals of the New York Academy of Sciences. 733:425-436 |
| ISSN: | 1749-6632 0077-8923 |
| Popis: | Neuroendocrine tumors (NETs) of the foregut type are frequently smaller than 2 cm in diameter and mainly located in the pancreas or the gastric and duodenal wall. Conventional cross-sectional imaging techniques, such as transabdominal ultrasonography (US), computed tomography (CT), and magnetic resonance imaging (MRI) are limited by their inability to detect small tumors and especially those located within the gastrointestinal wall. Endoscopic ultrasonography (EUS) allows detailed visualization of the whole pancreas and almost all parts of the gastric and duodenal walls. Therefore, EUS is an important diagnostic tool for the preoperative localization of NETs of the foregut type. Several studies performed in a retrospective manner, as well as two studies performed in a prospective manner, indicate a clear superiority of EUS as compared to CT, US, MRI, and also angiography in detecting NETs of the foregut type. Somatostatin-receptor scintigraphy (SRS) also detects NETs of the foregut type in a very high percentage of cases, and the combination of EUS and SRS appears to increase the sensitivity even more. Thus EUS and also SRS should be employed early if NETs of the foregut type are suspected. Conventional imaging procedures such as US, CT, and MRI should be mainly used to exclude local and distant metastases. |
| Databáze: | OpenAIRE |
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