Lammer J, Tölly E, Hörmann M, Zalaudek G
Digitale Bilddiagn. 1984 Sep;4(3):121-6.
Carcinoma of the pancreas continues to present a most unfavorable prognosis. 90% of the tumours cannot be operated on and the survival time of these patients is 2-6 months. In a prospective study based on 23 patients it was investigated whether comprehensive staging of the carcinoma of the pancreas can be performed via computed tomography so that operable carcinomas alone must be presented for laparotomy. Results of CT were compared with those of angiography and laparotomy. Differentiation between stage 1 (tumour restricted to organ) and stage 2 (limited lymph node metastasising) is limited if effected via CT. However, it was possible to differentiate between the non-operable stages 3 and 4 with a sensitivity of 88% and a specificity of 78%. CT showed particularly high sensitivity in patients with vascular involvement.
胰腺癌的预后仍然非常不理想。90%的肿瘤无法进行手术切除，这些患者的存活时间为2至6个月。在一项基于23例患者的前瞻性研究中，研究了是否可以通过计算机断层扫描对胰腺癌进行全面分期，以便仅将可手术切除的癌瘤进行剖腹探查。将CT结果与血管造影和剖腹探查的结果进行了比较。如果通过CT进行分期，区分1期（肿瘤局限于器官）和2期（有限的淋巴结转移）存在局限性。然而，对于无法手术的3期和4期患者，有可能进行区分，敏感性为88%，特异性为78%。CT在血管受累患者中显示出特别高的敏感性。
