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Date Published: 15/04/2022
Abstract Views: 170
Views PDF: 97
DOI: https://doi.org/10.51298/vmj.v511i1.2094
Issue
Vol. 511 No. 1 (2022)
Section
Các bài báo
How to Cite
Trường Sơn, N. ., Mai Hương, H. ., & Văn Long, Đào . (2022). COMPARATION OF THE VALUE OF ABDOMINAL ULTRASOUND AND ENDOSCOPIC ULTRASOUND IN THE DIAGNOSIS OF PANCREATIC CANCER AND CLASSIFICATION ACCORDING TO AJCC 2010. Vietnam Medical Journal, 511(1). https://doi.org/10.51298/vmj.v511i1.2094

COMPARATION OF THE VALUE OF ABDOMINAL ULTRASOUND AND ENDOSCOPIC ULTRASOUND IN THE DIAGNOSIS OF PANCREATIC CANCER AND CLASSIFICATION ACCORDING TO AJCC 2010

Nguyễn Trường Sơn1,, Hoàng Mai Hương2, Đào Văn Long1,2
1 Department of Gastroenterology and Hepatology, Bach Mai Hospital
2 Hanoi Medical University

Main Article Content

Abstract

Pancreatic cancer is a malignancy of pancreatic cells, one of the leading causes of death in the world. Abdominal ultrasound and endoscopic ultrasonography are two highly valuable tools in the diagnosis of pancreatic cancer. Objectives: Values ​​of abdominal and endoscopic ultrasound in diagnosis and staging of pancreatic cancer according to AJCC 2010 classification. Patients and methods: Retrospective, descriptive study on 73 eligible patients. Included in the study of 56 pancreatic cancer patients, compared with the gold standard of postoperative histopathology. Results: Abdominal ultrasound and endoscopic ultrasonography have (%): Sn 80.4/92.9. Sp 58.8/76.5. PPV 86.5/92.9. NPV 47.6/76.5. Acc 75.3/89.0%. Pancratic cancer classification according to AJCC 2010 on Abdominal ultrasound stage IIA accounts for the highest rate of 33.3%. Abdominal ultrasound predicts the surgical probability of tumor (IA, IB, IIA, IIB) 86.6%. SANS stage IIB accounted for the highest rate of 40.4%. Endoscopic ultrasonography predicts the surgical probability of tumor (IA, IB, IIA, IIB) is 82.7%. Conclusions: Endoscopic ultrasound is more valuable than abdominal ultrasound in the diagnosis of pancreatic cancer.

Article Details

Keywords

Endoscopic ultrasound, abdominal ultrasound, pancreatic cancer, AJCC classification

References

1. Jemal, A., Bray, F., Center, M. M., et al (2011). Global cancer statistics. CA Cancer J Clin, 61(2), 69-90.
2. D’Onofrio M (2012). Ultrasonography of the Pancreas, Springer-Verlag, Milan.
3. Hirooka Y, Itoh A, Takao I, et al (2013). Ultrasonographic diagnostic criteria for pancreatic cancer. J Med Ultrason (2001), 40(4), 497-504.
4. Giulia A.Z, Maria C.A, Mirko D’Onofrio, et al (2012). Ultrasonography of the Pancreas. Radiologic Clinics of North America, 50(3), 395-406.
5. Đỗ Trường Sơn (2004). Nghiên cứu chẩn đoán và điều trị ung thư tụy ngoại tiết, Luận án tiến sĩ Y học, Trường Đại học Y Hà Nội.
6. Bùi Công Huynh, Nguyễn Công Hoan and Nguyễn Duy Huề (2012). Nghiên cứu đặc điểm hình ảnh và giá trị của siêu âm, chụp cắt lớp vi tính và cộng hưởng từ trong chẩn đoán u vùng đầu tụy. Y học thực hành, (5), 29-30.
7. Angelis CD, Repici A, Carucci P, et al (2007). Pancreatic Cancer Imaging: The New Role of Endoscopic Ultrasound. J Pancreas 8(1), 85-97.
8. Rosch T, Lorenz R, Braig C, et al (1991). Endoscopic ultrasound in pancreatic tumor diagnosis. Gastrointest Endosc, 37(3), 347-352.