Foutch P G
Division of Gastroenterology, Desert Samaritan Medical Center, Mesa, Ariz.
Dig Dis. 1994 May-Jun;12(3):129-38. doi: 10.1159/000171446.
The diagnostic and staging evaluation for patients suspected of having pancreatic cancer has not been standardized. This review describes a practical algorithm for the workup of affected individuals. Computed tomography as an initial test can usually provide the most information when clinical features or biochemical or serological (CA19-9) test results suggest the presence of a neoplasm. Endoscopic retrograde cholangiopancreatography is appropriate when scans are equivocal or clearly abnormal especially in jaundiced patients. A cytological diagnosis is possible and biliary decompression can be accomplished with this procedure. Laparoscopy followed by angiography is useful for staging surgical candidates.
疑似胰腺癌患者的诊断和分期评估尚未标准化。本综述描述了一种针对受影响个体的实用检查算法。当临床特征、生化或血清学（CA19-9）检测结果提示存在肿瘤时，计算机断层扫描作为初始检查通常能提供最多信息。当扫描结果不明确或明显异常时，尤其是黄疸患者，内镜逆行胰胆管造影是合适的。通过该操作可以进行细胞学诊断并实现胆道减压。腹腔镜检查后进行血管造影对手术候选者的分期有用。
