Role of MDCT and CT Angiography in staging of pancreatic cancer

Autor: Mohamed H. H. Ali, Mohammad T. M. Solyman, Mohammad Z. A. Murad, Alaa E. H. Mohammed
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: SVU - International Journal of Medical Sciences, Vol 4, Iss 1, Pp 49-67 (2021)
Druh dokumentu: article
ISSN: 2735-427X
2636-3402
DOI: 10.21608/svuijm.2021.112028
Popis: Objectives: Staging of pancreatic cancer including vascular staging by use of CT angiography with assessment of presence of direct invasion of surrounding structures or distant metastasis. Patients and Methods: In our study 50 patients with pancreatc cancer were examined with CT angiography to assessresectability and the presence or absence of vascular infiltration of 5 main peri-pancreatc vessels which are celiac artery (CA), superior mesenteric artery (SMA), common hepatic artery (CHA), superior mesenteric vein ( SMV) and portal vein (PV). We assessed five vessels in fifty patientsi.e two hundred and fifty vessels as a whole. Results: Twenty four patients were pre-operatively judged to be resectable or requiring surgical bypass due to jaundice. The remaining 26 patients were judged to be irresectable from the start and referred for chemotherapy or radio-therapy. Conclusion:CT angiography proved to be an important tool in assessing intra abdominal malignancy specially the cancer of the pancreas which in most of cases is missed by abdominal ultrasonography.
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