Ultrasound and Endoscopic Ultrasound in the Diagnosis of Pancreatic Tumors

  • H. Meier
  • H. Friebel
Conference paper


Due to the increasing number of new imaging techniques and tumor markers, it is difficult to establish which method or combination of methods may provide the greatest amount of information for diagnosis of pancreatic carcinoma. The accuracy of different imaging methods in the detection of pancreatic tumors depends mainly on the size of the tumor and the involvement of the main pancreatic duct and common bile duct. Endoscopic retrograde cholangiopancreatography (ERCP) has a very high sensitivity in the diagnosis of tumors because of the frequent involvement of the main pancreatic duct; the specificity in cases of chronic pancreatitis is, however, limited. Small tumors of less than 2 cm in diameter are hardly demonstrated by ultrasound (US) or even computed tomography (CT); in these cases, the sensitivity of endoscopic ultrasound (EUS) is clearly superior (higher than 90%).


Pancreatic Cancer Common Bile Duct Pancreatic Carcinoma Pancreatic Tumor Main Pancreatic Duct 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Classen M (1987) Erkrankungen des Pankreas. In: Siegenthaler W. Lehrbuch der inneren Medizin. Thieme Stuttgart, S 1061–1072Google Scholar
  2. 2.
    Hessel SJ (1982) A prospective evaluation of CT and US of the pancreas. Radiology 143: 129–133PubMedGoogle Scholar
  3. 3.
    Campbell JP (1988) Pancreatic neoplasm: how useful is evaluation with US? Radiology 167: 341–344PubMedGoogle Scholar
  4. 4.
    Smith KJ (1989) Is US equivalent to CT in the diagnosis of pancreatic cancer? Gastroenterology 96: A480Google Scholar
  5. 5.
    Tao (1990) The pancreas. In: Transabdominal fine-needle aspiration biopsy. Igaku-Shoin, New York, pp 133–178Google Scholar
  6. 6.
    Hal-Craggs (1986) FNAB: pancreatic and biliary tumors. AJR 1986: 399–403Google Scholar
  7. 7.
    Glenthoj (1990) Us guided histological and cytological fine needle biopsie of the pancreas. Gut 31: 930–933PubMedCrossRefGoogle Scholar
  8. 8.
    Elvin (1990) Biopsy of the pancreas with a biopsy gun. Radiology 176: 677–679PubMedGoogle Scholar
  9. 9.
    Charboneau (1990) CT and US guided needle biopsy: current techniques and new innovations. AJR 154: 1–10PubMedGoogle Scholar
  10. 10.
    Schwerk (1986) US guided FNB in the diagnosis of pancreatic tumors. Diagnostic procedures in pancreatic disease. P. Malfertheiner (ed) Springer, BerlinGoogle Scholar
  11. 11.
    Fornari (1992) US guided FNAB of gastrointestinal organs. Dig Dis 10: 121–133PubMedCrossRefGoogle Scholar
  12. 12.
    Parson (1989) How accurate is FNAB of the pancreas? Arch Surg 124: 681–686Google Scholar
  13. 13.
    Dancygier (1988) Pancreatic cancer. In: Kawai (ed) Endoscopic ultrasonography in Gastroenterology. Igaku-Shoin, Tokyo, pp 72–78Google Scholar
  14. 14.
    Roesch (1992) Staging of pancreatic and ampullary carcinoma by EUS. Gastroenterology 102: 188–199Google Scholar
  15. 15.
    Roesch (1990) Endosonographische Diagnostik bei Pankreastumoren. Dtsch med Wschr 115:1339–1347CrossRefGoogle Scholar
  16. 16.
    Tio (1986) Endoscopic ultrasonography in staging local resectability of pancreatic and periampullary malignancy. Scand J Gastroenterol 21, Suppl. 123: 135–142CrossRefGoogle Scholar
  17. 17.
    Yasuda (1988) The diagnosis of pancreatic cancer by EUS. Gastrointest Endoscopy 34: 1–8CrossRefGoogle Scholar
  18. 18.
    Kaufmann (1989) EUS in the differential diagnosis of pancreatic disease. Gastrointest. Endosc 35: 214–21CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1997

Authors and Affiliations

  • H. Meier
  • H. Friebel

There are no affiliations available

Personalised recommendations