Role of MDCT and CT Angiography in staging of pancreatic cancer

Document Type : Original research articles

Authors

1 Radiodiagnosis Department , Sohag, Faculty of Medicine, Sohag University

2 General Surgery Department, Sohag, Faculty of Medicine, Sohag University

Abstract

Objectives: Staging of pancreatic cancer including vascular staging by use of CT angiography with assessment of presence of direct invasion of surrounding structures or distant metastasis.
Patients and Methods: In our study 50 patients with pancreatc cancer were examined with CT angiography to assessresectability and the presence or absence of vascular infiltration of 5 main peri-pancreatc vessels which are celiac artery (CA), superior mesenteric artery (SMA), common hepatic artery (CHA), superior mesenteric vein ( SMV) and portal vein (PV). We assessed five vessels in fifty patientsi.e two hundred and fifty vessels as a whole.
Results: Twenty four patients were pre-operatively judged to be resectable or requiring surgical bypass due to jaundice. The remaining 26 patients were judged to be irresectable from the start and referred for chemotherapy or radio-therapy.
Conclusion:CT angiography proved to be an important tool in assessing intra abdominal malignancy specially the cancer of the pancreas which in most of cases is missed by abdominal ultrasonography.

Keywords

Main Subjects

SVU-International Journal of Medical Sciences
Volume 4, Issue 1
January 2021
Pages 49-67

Files

Share

How to cite

Statistics