ASSESSEMENT OF LOCAL INVASION IN PANCREATIC HEAD CANCER WITH MULTISLIDE SPIRAL CT

Thanh Dũng Lê1,, Thị Hiếu Nguyễn1
1 Viet Duc hospital

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Abstract

The study aimed to evaluate presence of direct invasion of surrounding structures in multislice computor tomography (MSCT), relating to resectability of pancreatic head adenocarcinoma. Contiguity of tumor with the adjacent vessels was graded from A to D: A (unrelating), B (abutment), C (encasement), D (occlusion). We selected 105 patients who underwent an abdominal MSCT scan at Vietnam-Germany Hospital from 1/2020 to 8/2022. Results, invasion degrees of celiac axis, superior mesenteric artery, common hepatic artery and superior mesenteric vein were significantly associated with resectability (p<0.01). The MSCT findings of pancreatic head tumor had low diagnostic accuracy in assessing regional lymph node (42%), but had high diagnostic accurancy in evaluating duodenal invasion (87%).

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References

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