Brühlmann W, Rüttimann A
Rofo. 1976 Jun;124(6):542-46. doi: 10.1055/s-0029-1230388.
The accuracy of ERCP in the differentiation between carcinoma of the pancreas and chronic pancreatitis is evaluated in a series of 39 cases with proved final diagnosis. The specificity of 6 different morphological types of duct alterations for carcinoma or for chronic pacreatitis is analyzed. - The accuracy of differentiation was 90% in the present series. Long, irregular stenosis or localized destruction of ductal branches were found in carcinoma only. Short, smooth stenosis or diffuse duct alterations were present in pancreatitis only. Total obstruction was found in both diseases in about the same frequency.
在39例最终确诊的病例系列中，评估了内镜逆行胰胆管造影（ERCP）在鉴别胰腺癌和慢性胰腺炎方面的准确性。分析了6种不同形态类型的导管改变对癌或慢性胰腺炎的特异性。——在本病例系列中，鉴别准确率为90%。仅在癌中发现导管分支的长、不规则狭窄或局限性破坏。仅在胰腺炎中出现短、平滑狭窄或弥漫性导管改变。两种疾病中完全梗阻的发生率大致相同。
