Original Article
Application of endoscopic ultrasonography on diagnosis of vascular involvement for pancreatic cancer
Sijie Hao, Hang He, Feng Yang, Yang Di, Yuqin Jin, Chen Jin, Deliang Fu, Liang Zhong
Published 2019-09-20
Cite as Chin J Dig Endosc, 2019, 36(9): 666-670. DOI: 10.3760/cma.j.issn.1007-5232.2019.09.011
Abstract
ObjectiveTo evaluate the diagnostic efficiency and accuracy of endoscopic ultrasonography (EUS) on vascular involvement of pancreatic cancer.
MethodsPatients, suspected pancreatic cancer with vascular involvement by CT scan in Huashan Hospital, Fudan University from January 2014 to March 2019, were enrolled prospectively in the study. EUS was performed to evaluate the vascular involvement compared with surgical pathological results.
ResultsA total of 132 patients with pancreatic cancer were enrolled in the study, and they all underwent EUS observation and radical resection with vessels resection. There were 103 cases of cancer in pancreatic head, 19 cancers in pancreatic neck and 10 cancers in distal pancreas. The diagnostic sensitivity, specificity and accuracy of EUS was 97.4% (113/116), 81.2% (13/16), and 95.5% (126/132), respectively for pancreatic cancers with vein involvement; while was 33.3% (2/6), 90.0% (81/90), and 86.5% (83/96), respectively, for pancreatic cancers with superior mesentery artery involvement.
ConclusionEUS may play a key role in diagnosis of vascular involvement of pancreatic cancer, and be helpful for the surgical decision marking.
Key words:
Pancreatic neoplasms; Endoscopic ultrasonography; Vascular involvement
Contributor Information
Sijie Hao
Department of Pancreatic Surgery, Huashan Hospital, Fudan University, Shanghai 200040, China
Hang He
Department of Pancreatic Surgery, Huashan Hospital, Fudan University, Shanghai 200040, China
Feng Yang
Department of Pancreatic Surgery, Huashan Hospital, Fudan University, Shanghai 200040, China
Yang Di
Department of Pancreatic Surgery, Huashan Hospital, Fudan University, Shanghai 200040, China
Yuqin Jin
Department of Endoscopy Center, Huashan Hospital, Fudan University, Shanghai 200040, China
Chen Jin
Department of Pancreatic Surgery, Huashan Hospital, Fudan University, Shanghai 200040, China
Deliang Fu
Department of Pancreatic Surgery, Huashan Hospital, Fudan University, Shanghai 200040, China
Liang Zhong
Department of Endoscopy Center, Huashan Hospital, Fudan University, Shanghai 200040, China
