J Korean Radiol Soc.  1986 Dec;22(6):1043-1050. 10.3348/jkrs.1986.22.6.1043.

Ultrasonography and ultrasonoguided percutaneous fine needle aspiration biopsy of pancreatic cancer

Abstract

Ultrasonograhy of pancreas has been already established to be a effective method in the evaluation ofpancreatic mass lesion. In addition to ultrasonography, ultrasonoguied percutaneous fine needle aspiration biopsyof pancreatic mass has been known to be a safe method of obtaining tissue diagnosis in patients with pancreaticcancer without operation. From March, 1984 to June, 1986 ultrasonography and ultrasonoguided percutaneous fineneedle aspiration biopsy were peformed in 40 patients who had been finally diagnosed as pancreatic cancer at theDepartment of Radiology, Yonsei University College of Medicine. The results were summarized as follows: Inultrasonographic findings of pancreatic cancer, (1) The location of pancreatic mass in 19 cases in head, 3 in headand body, 7 in body, 4 in body and tail, 5 in tail and 2 diffuse type. (2) The size of tumor ranged under 2cm in 2cases, between 2.1-4cm in 21, between 4.1-6cm in 13 and over 6cm in 4 cases. (3) The other ultrasonographicfindings were 6 cases common bile duct dilatation, 4 pancreatic duct dilatation, 10 peripancreatic nodeenlargements, 16 liver metastatsis and 3 stomach involvement. In ultrsonoguided percutaneous fine needleaspiration biopsy of total 40 cases of pancreatic cancer. (4) The cytologic diagnosis were postive malignant cellin 31 cases( 77.5%), highly suspicious malignant cell, but inconclusive in 3(7.5%), negative malignant cell in 2(5.0%) and material insufficiency in 4 cases(10%) (5) No significant complication durinng or after procedure wasfound.


MeSH Terms

Biopsy*
Biopsy, Fine-Needle*
Biopsy, Needle
Common Bile Duct
Diagnosis
Dilatation
Head
Humans
Liver
Methods
Pancreas
Pancreatic Ducts
Pancreatic Neoplasms*
Stomach
Tail
Ultrasonography*
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