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Staging of cancer of the pancreas

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Summary

Staging of cancer of the pancreas is relatively reliable when based on pathological material obtained from operative specimens or at autopsy. At operation, the assessment of disease stage, and therefore of operability, is more difficulty—particularly in relation to the extent of lymph node involvement and liver metastases. Preoperative staging, which, clinically, is the most essential, is difficult and unsatisfactory at the present time.

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References

  1. Hermdreck AS, Thomas CY, and Friesen SR. Importance of pathological staging in the surgical management of carcinoma of the exocrine pancreas. Am. J. Surg. 1974; 127: 653–658.

    Article  Google Scholar 

  2. Cancer of the Pancreas Task Force, Staging of cancer of the pancreas. Cancer 1981; 47: 1631–1637.

    Google Scholar 

  3. Cubilla AF, Fortner JG, and Fitzgerald PJ. Lymph node involvement in carcinoma of the head of the pancreas area. Cancer 1978; 41: 880–887.

    Article  PubMed  CAS  Google Scholar 

  4. Cubilla AL and Fitzgerald PJ. Tumours of the exocrine pancreas, Atlas of Tumour Pathology, Second Series. Fasc. 19, Washington DC. Armed Forces Institute of Pathology, 1984; 280.

    Google Scholar 

  5. Ishikawa O, Ohhigashi H, Sasaki Y, Kabuto T, Fukuda I, Furukawa H, Imaoka S, and Iwanaga T. Practical usefulness of lymphatic and corrective tissue clearance for the carcinoma of the pancreas head, Ann. Surg. 1988; 208(2): 215–220.

    Article  PubMed  CAS  Google Scholar 

  6. Japanese Pancreatic Society. General Rules for Surgical and Pathological Studies on Cancer of the Pancreas, 3rd ed. Tokyo, Kanchara Publishing, 1986(in Japanese).

    Google Scholar 

  7. Manabe T, Miyashita T, Onshio G, Nonaka A, Suzuki T, Endo K, Takahashi M, and Tobe T. Small carcinoma of the pancreas. Cancer 1988; 62: 135–141.

    Article  PubMed  CAS  Google Scholar 

  8. Jordan GL. Surgical Diseases of the Pancreas. Howard JM, Jordan GL, and Reber HA, eds., Lea & Febiger, Philadelphia, 1987; 701.

    Google Scholar 

  9. Moosa AR, Scott MH, and Lavelle-Jones M. The place of total and extended total pancreatectomy in pancreatic cancer. World J. Surg. 1984; 8: 895–899.

    Article  Google Scholar 

  10. Urich H. Disease of the peripheral nerves. Greenfield’s Neuropathology, 3rd ed, Blackwood W and Corselles JAN, eds., Edward Arnold, London, 1976; 688–770.

    Google Scholar 

  11. Bender RA and Brennan MF. The role of percutaneous liver biopsy in the pretreatment evaluation of pancreatic adenocarcinoma. Am. J. Surg. 1978; 135: 207–209.

    Article  PubMed  CAS  Google Scholar 

  12. Trapnell JE. Staging of carcinoma of the pancreas. Br. Med. J. 1979; 1: 492.

    PubMed  CAS  Google Scholar 

  13. Dowsett JF, Russell RCG, Hatfield ARW, Cotton PB, Speer AG, Houghton J, Lennon T, Stanesby L, Macrae K, and Ahern R. Malignant obstructive jaundice—what is the best management? A prospective randomised trial of surgery v. endoscopic stenting, Gut. 1988; 29: A 1493.

    Google Scholar 

  14. Shepherd HA, Royle G, Ross APR, Diba A, Arthur M, and Colin-Jones D. Endoscopic biliary prosthesis in the palliation of malignant obstruction of the distal common bile duct: a randomized trial. Br. J. Surg. 1988; 75: 1166–1168.

    Article  PubMed  CAS  Google Scholar 

  15. Campbell JP and Wilson SR. Pancreatic neoplasms: how useful is evaluation with U.S.? Radiology, 1988; 167: 341–344.

    PubMed  CAS  Google Scholar 

  16. Freeny PC. Radiologic diagnosis and staging of pancreatic duct adenocarcinoma, Radiol. Clin. North Am. 1989; 27(1): 121–128.

    PubMed  CAS  Google Scholar 

  17. Guthoff A, Rothe B, Klador R, et al. Site of recurrence after resection for pancreatic carcinoma. Dig. Dis. Sci. 1987; 32: 1168.

    Google Scholar 

  18. Freeny PC, Marks WM, Ryan JA, and Traverso LW. Pancreatic ductal adenocarcinoma: diagnosis and staging with dynamic C.T. radiology. Radiology, 1988; 166: 125–133.

    PubMed  CAS  Google Scholar 

  19. Choi BI, Kim KW, Han MC, Kim YI, and Kim CW. Solid and papillary epithelial neoplasms of the pancreas. C.T. findings. Radiology, 1988; 166: 413–416.

    PubMed  CAS  Google Scholar 

  20. Winkelmann M, Schoppe WD, Volk N, Bürrig KF, Jungblut RM, and Schneider W. Correlation of abdominal C.T. imaging with autopsy findings in patients with malignant tumours, J. Cancer Res. Clin. Oncol. 1987; 113: 279–284.

    Article  PubMed  CAS  Google Scholar 

  21. Wittenberg J, Ferrucci JT, and Warshaw AL. Contributional computed tomography to patients with pancreatic adenocarcinoma. World J. Surg. 1984; 8: 831–838.

    Article  PubMed  CAS  Google Scholar 

  22. Appleton GVN, Bathurst NCG, Virjee J, Cooper MJ, and Williamson RCN. The value of angiography in the surgical management of pancreatic disease. Ann. R. Coll. Surg. Eng. 1989; 71:92–96.

    CAS  Google Scholar 

  23. Cushieri A. Laparoscopy for pancreatic cancer: does it benefit the patient? Eur. J. Surg. Oncol. 1988; 14: 41–44.

    Google Scholar 

  24. Jenkins JPR, Bragenza JM, Hickey DS, Isherwood I, and Machin BA. Quantitative tissue characterisation in pancreatic disease using magnetic resonance imaging, Br. J. Radiol. 1987; 60: 333–341.

    Article  PubMed  CAS  Google Scholar 

  25. Tscholakoff D, Hricak H, Thoeni R, Winkler ML, and Margulis AR. M.R. imaging in the diagnosis of pancreatic disease, Am. J. Radiol. 1987; 148: 703–710.

    CAS  Google Scholar 

  26. Wathen CG, Kerr KM, Reid AJA. Receiver operating characteristics comparing pathological and C.T. scan assessment of the mediastinum in lung cancer, presented at American Thoracic Society, 1989.

  27. Gastrointestinal Tumour Study Group. Further evidence of effective adjuvant combined radiation and chemiotherapy following curative resection of pancreatic cancer. Cancer 1987; 59: 2006–2010.

    Article  Google Scholar 

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Trapnell, J.E. Staging of cancer of the pancreas. Int J Pancreatol 7, 109–116 (1990). https://doi.org/10.1007/BF02924226

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