Pomerri F, Alfieri P, Pescarini L, Pittarello F, Muzzio P C
Istituto di Radiologia, Università, Padova.
Radiol Med. 1991 Jan-Feb;81(1-2):22-8.
In spite of the improved imaging techniques currently available, mortality for pancreatic cancer is still high, and pancreatitis is often diagnosed only in its advanced stages. The authors investigated the value of different imaging techniques--i.e., US, CT, and ERCP--for an early diagnosis, when a more effective (curative?) treatment can be suggested. Fifty-six cases of pancreatic cancer and 36 cases of chronic pancreatitis were evaluated. The results indicate that ERCP, with the help of statistical methods, is superior to US and CT not only in evaluating early neoplastic or inflammatory lesions, but also for their differential diagnosis. In the latter case, ERCP can sometimes be used as a valid alternative to fine-needle aspiration biopsy.
尽管目前有了改进的成像技术，但胰腺癌的死亡率仍然很高，胰腺炎往往直到晚期才被诊断出来。作者研究了不同成像技术——即超声（US）、计算机断层扫描（CT）和内镜逆行胰胆管造影（ERCP）——在早期诊断中的价值，此时可以建议采用更有效的（治愈性？）治疗方法。对56例胰腺癌和36例慢性胰腺炎病例进行了评估。结果表明，借助统计方法，ERCP不仅在评估早期肿瘤性或炎性病变方面优于US和CT，而且在鉴别诊断方面也更具优势。在后一种情况下，ERCP有时可作为细针穿刺活检的有效替代方法。
