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Pancreatic Adenocarcinoma

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Abstract

Pancreatic cancer represents a challenge for the imaging modalities that are most commonly used: ultrasound, computed tomography (CT), magnetic resonance imaging (MRI), and positron emission tomography-computed tomography (PET-CT). Imaging is used to identify the pancreatic lesion and help in the diagnosis of the different forms of pancreatic cancer in different clinical settings.

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References

  1. D’Onofrio M, Gallotti A, Falconi M et al (2010) Acoustic radiation force impulse ultrasound imaging of pancreatic cystic lesions: preliminary results. Pancreas 39: 939–40

    Article  PubMed  Google Scholar 

  2. Kim JH, Park SH, Yu ES, et al (2010) Visually isoattenuating pancreatic adenocarcinoma at dynamic-enhanced CT: frequency, clinical and pathologic characteristics, and diagnosis at imaging examinations. Radiology 257: 87–96

    Article  PubMed  Google Scholar 

  3. Tranchart H, Gaujoux S, Rebours V et al (2012) Preoperative CT scan helps to predict the occurrence of severe pancreatic fistula after pancreaticoduodenectomy. Ann Surg 256: 139–45

    Article  PubMed  Google Scholar 

  4. Boraschi P, Donati F, Gigoni R et al (2010) Diffusion-weighted MRI in the characterization of cystic pancreatic lesions: usefulness of ADC values. Magn Reson Imaging 28: 1447–55

    Article  PubMed  Google Scholar 

  5. Sandrasegaran K, Akisik FM, Patel AA et al (2011) Diffusion-weighted imaging in characterization of cystic pancreatic lesions. Clin Radiol. 2011 Sep 66: 808–14

    CAS  Google Scholar 

  6. Hur BY, Lee JM, Lee JE et al (2012) Magnetic resonance imaging findings of the mass-forming type of autoimmune pancreatitis: comparison with pancreatic adenocarcinoma. J Magn Reson Imaging 36: 188–97

    Article  PubMed  Google Scholar 

  7. Holzapfel K, Reiser-Erkan C, Fingerle A et al (2011) Comparison of diffusion-weighted MR imaging and multidetector-row CT in the detection of liver metastases in patients operated for pancreatic cancer. Abdom Imaging 36: 179–184

    Article  PubMed  Google Scholar 

  8. Wu LM, Hu JN, Hua J et al (2012) Diagnostic value of diffusion-weighted magnetic resonance imaging compared with fluorodeoxyglucose positron emission tomography/computed tomography for pancreatic malignancy: A meta-analysis using a hierarchical regression model. J Gastroenterol Hepatol. 2012 27: 1027–35

    Article  Google Scholar 

  9. Diener MK, Fitzmaurice C, Schwarzer G et al (2011) Pylorus-preserving pancreaticoduodenectomy (pp Whipple) versus pancreaticoduodenectomy (classic Whipple) for surgical treatment of periampullary and pancreatic carcinoma. Cochrane Database Syst Rev 11:CD006053

    Google Scholar 

  10. Nimura Y, Nagino M, Takao S et al (2012) Standard versus extended lymphadenectomy in radical pancreatoduodenectomy for ductal adenocarcinoma of the head of the pancreas. J Hepatobiliary Pancreat 19: 230–241

    Article  Google Scholar 

  11. Berger AC, Howard TJ, Kennedy EP et al (2009) Does Type of Pancreaticojejunostomy after Pancreaticoduodenectomy decrease Rate of Pancreatic Fistula? A Randomized, Prospective, Dual-Institution Trial. J Am Coll Surg 208: 738–749

    Article  PubMed  Google Scholar 

  12. Peng SY, Wang JW, Lau WJ et al (2007) Conventional Versus Binding Pancreaticojejunostomy after pancreaticoduodenectomy. Ann Surg 245: 692–698

    Article  PubMed  Google Scholar 

  13. Gurusamy KS, Koti R, Fusai G et al (2012) Somatostatin analogues for pancreatic surgery (Review) Cochrane Database Syst Rev. 2012 Jun 13: CD008370

    Google Scholar 

  14. Xiong JJ, Altkaf K, Mukherjee R et al (2012) Systematic review and meta-analysis of outcomes after intraoperative pancreatic duct stent placement during pancreaticoduodenectomy. Br J Surg 99: 1050–61

    Article  PubMed  CAS  Google Scholar 

  15. Tewari a, Hazrah P, Kumar V et al (2010) Options of restorative pancreaticoenteric anastomosis following pancreaticoduodenectomy: A review. Surg Oncol. 19: 17–26

    Article  PubMed  Google Scholar 

  16. Carrere N, Sauvanet A, Goere D et al (2006) Pancreaticoduodenectomy with Mesentericoportal Vein Resection for Adenocarcinoma of the Pancreatic Head. World J Surg 30: 1526–1535

    Article  PubMed  Google Scholar 

  17. Castleberry AW, White RR, De La Fuente SG et al (2012) The Impact of Vascular Resection on Early Postoperative Outcomes after Pancreaticoduodenectomy: An Analysis of the American College of Surgeons National Surgical Quality Improvement Program Database. Ann Surg Oncol [Epub ahead of print]

    Google Scholar 

  18. Zeh EJ, Zureikat AH, Secrest A et al (2012) Outcomes After Robot-Assisted Pancreaticoduodenectomy for Periampullary Lesions. Ann Surg 19: 864–870

    Article  Google Scholar 

  19. Daouadi M, Zureikat AH, Zenati MS et al (2012) Robot-Assisted Minimally Invasive Distal Pancreatectomy Is Superior to the Laparoscopic Technique. Ann Surg [Epub ahead of print]

    Google Scholar 

  20. Venkat R, Barish E, Richard DS et al (2012) Laparoscopic Distal Pancreatectomy Is Associated With Significantly Less Overall Morbidity Compared to the Open Technique. Ann Surg 255: 1048–1059

    Article  PubMed  Google Scholar 

  21. Fox AM, Pitzul K, Bhojani F et al (2012) Comparison of outcomes and costs between laparoscopic distal pancreatectomy and open resection at a single center. Surg Endosc 26: 1220–1230

    Article  PubMed  Google Scholar 

  22. Tsiouris A, Cogan CM, Velanovich V et al (2011) Distal pancreatectomy with or without splenectomy: comparison of postoperative outcomes and surrogates of splenic function. HPB (Oxford) 13: 738–44

    Article  Google Scholar 

  23. Cantore M, Girelli R, Mambrini A et al (2012) Combined modality treatment for patients with locally advanced pancreatic adenocarcinoma. Br J Surg 99: 1083–8

    Article  PubMed  CAS  Google Scholar 

  24. Katz MH, Pisters PW, Evans DB et al (2008) Borderline resectable pancreatic cancer: the importance of this emerging stage of disease. J Am Coll Surg 206: 833–46

    Article  PubMed  Google Scholar 

  25. Assifi MM, Lu X, Eibl G, et al (2011) Neoadjuvant therapy in pancreatic adenocarcinoma: a meta-analysis of phase II trials. Surgery 150: 466–73

    Article  PubMed  Google Scholar 

  26. Dawwas MF, Taha H, Leeds JS et al (2012) Diagnostic accuracy of quantitative EUS elastography for discriminating malignant from benign solid pancreatic masses: a prospective, single-center study. Gastrointest Endosc 76: 953–61

    Article  PubMed  Google Scholar 

  27. Puli SR, Reddy JB, Bechtold ML et al (2012) EUS-guided celiac plexus neurolysis for pain due to chronic pancreatitis or pancreatic cancer pain: a meta-analysis and systematic review. Dig Dis Sci 54: 2330–7

    Article  Google Scholar 

  28. Yoon WJ, Lee JK, Lee KH et al (2006) A comparison of covered and uncovered Wallstents for the management of distal malignant biliary obstruction. Gastrointest Endosc 63: 996–1000

    Article  PubMed  Google Scholar 

  29. Suk KT, Kim JW, Kim HS et al (2007) Human application of a metallic stent covered with a paclitaxel-incorporated membrane for malignant biliary obstruction: multicenter pilot study. Gastrointest Endosc 66: 798–803

    Article  PubMed  Google Scholar 

  30. Maetani I, Tada T, Ukita T et al (2004) Comparison of duodenal stent placement with surgical gastrojejunostomy for palliation in patients with duodenal obstructions caused by pancreaticobiliary malignancies. Endoscopy 36: 73–8

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Marco Filauro .

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© 2013 Springer-Verlag Italia

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Filauro, M. et al. (2013). Pancreatic Adenocarcinoma. In: Valeri, A., Bergamini, C., Agresta, F., Martellucci, J. (eds) What’s New in Surgical Oncology. Springer, Milano. https://doi.org/10.1007/978-88-470-5310-6_6

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  • DOI: https://doi.org/10.1007/978-88-470-5310-6_6

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-5309-0

  • Online ISBN: 978-88-470-5310-6

  • eBook Packages: MedicineMedicine (R0)

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