Integrated (Algorithmic) Diagnosis of Pancreatic Carcinoma
A wide variety of radiographic techniques are available for evaluation of patients with suspected pancreatic carcinoma. They include a group of newer procedures, such as high-resolution grey-scale and real-time ultrasonography and computed tomography, as well as some older techniques that have reached maturity. These latter procedures include percutaneous transhepatic cholangiography (PTC), endoscopic retrograde cholangiopancreatography (ERCP), and pancreatic angiography. In addition, the technique of percutaneous fine-needle pancreatic biopsy (FNAB) is able to provide nonoperative, cytologic confirmation of the clinical and radiologic diagnosis of pancreatic carcinoma, and percutaneous transhepatic biliary drainage and percutaneous splanchnic nerve block offer nonoperative alternatives for palliation of unresectable tumors.
KeywordsCommon Bile Duct Pancreatic Carcinoma Percutaneous Transhepatic Biliary Drainage Common Hepatic Duct Pancreatic Mass
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