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Endoscopic Ultrasonography is a Promising Tool for Preoperative Prediction of the Operability of Pancreatic Carcinoma

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Abstract

This work discussed the efficiency of endoscopic ultrasonography (EUS) as a diagnostic modality for early detection of pancreatic cancer. The present study was constructed by doing imaging modalities EUS on 24 patients admitted to surgery department in the faculty of medicine with suspected pancreatic malignancy. Pancreatic cancer was found more in older ages above 55 years predominately in males coming from rural areas presenting with abdominal pain with or without jaundice. Histopathological examination revealed that ductal adenocarcinoma represented by 70.83% of cases. This study also shows significant elevation in serum CA19-9 in the presenting cases to confirm a close relation between cancer pancreas and CA19-9 as a good biochemical marker for PC. EUS was found to be able to detect masses less than 20 mm in diameter. Moreover, EUS can accurately detect the mass nature. EUS showed correct information as regards lymph node involvement and vascular invasion which affected the results of respectability of pancreatic masses. Finally, this study clearly showed that EUS is an accurate pre-operative tool in the assessment of nodal staging, vascular invasion, and respectability in patients with pancreatic adenocarcinoma.

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Authors and Affiliations

  1. General Surgery Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt

    Tarek Ezzat Abdellatif, Khaled Safwat, Wael Abdalla & Sameh Mohamed Naguib

  2. Faculty of Medicine, Mansoura University, Mansoura, Egypt

    Hazem Hakim Elmenshawy

Authors
  1. Tarek Ezzat Abdellatif
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  2. Khaled Safwat
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  3. Hazem Hakim Elmenshawy
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  4. Wael Abdalla
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  5. Sameh Mohamed Naguib
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Correspondence to Sameh Mohamed Naguib.

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The authors declare that they have no conflict of interest.

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This study was conducted in compliance with the guidelines of the Helsinki declaration on biomedical research in human subjects. Confidentiality of the identity of the patients and personal health information was maintained.

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Written informed consent was obtained from the patient.

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Written informed consent for publication of their clinical details and images was obtained from the patient.

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Abdellatif, T.E., Safwat, K., Elmenshawy, H.H. et al. Endoscopic Ultrasonography is a Promising Tool for Preoperative Prediction of the Operability of Pancreatic Carcinoma. J Gastrointest Canc 53, 197–203 (2022). https://doi.org/10.1007/s12029-020-00567-w

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  • DOI: https://doi.org/10.1007/s12029-020-00567-w

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