Diagnostic Value of Computed Tomography in Pancreatic Carcinoma

Abstract
Computed tomography (CT) performed on 54 patients with pancreatic carcinoma showed evidence of pancreatic disease in 44, but a definite diagnosis of inoperable pancreatic carcinoma could be made in only 16 by revealing liver metastases. Differentiation between neoplastic and inflammatory disease was impossible in most patients, particularly in patients with resectable tumors. CT was inferior to angiography, PTC [percutaneous transhepatic cholangiography] and ERCP [endoscopic retrograde cholangiopancreatography] in diagnosing pancreatic carcinoma. CT was also significantly less sensitive than angiography in assessing operability. However, in patients where CT demonstrated liver metastases, angiography and ERCP may be avoided.

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