Ultrasound investigation in estimation of vascular invasion and morphological verification of pancreatic tumors
Abstract
The aim of publication. To present potential of ultrasound investigation (US) in diagnostics of pancreatic tumors (PT).
Summary. Morphological verification of PT and estimation of stage of their progression are the basic factors of treatment planning. Traditionally «the gold standard» in detection of tumor and estimation of vascular invasion is computer tomography. In world practice US at PT is used only at the stage of primary diagnostics, as a rule, application at specifying diagnostics stage is limited because the method is operator-dependent and storage of study data is complex. However US can be carried out in various planes and positions of the patient’s body, that in some cases helps to receive additional information. Though morphological verification is the leading factor in assessment of prognosis and treatment approach at oncologic diseases, its necessity and ways of tissue sampling at PT is discussed up to now.
Conclusion. Potential of US in morphological verification and assessment of vascular invasion of PT is demonstrated by the clinical case example, that has allowed to carry out radical surgical treatment to the patient.
About the Authors
S. O. Stepanov
State educational state-funded institution Gertsen Moscow oncological research institute Ministry of healthcare of Russian Federation
Russian Federation
Russian Federation
Stepanov Stanislav O — MD, PhD, head of ultrasound diagnostics department
125284, Moscow, 2-nd Botkinsky pr., 3
N. A. Rubtsova
State educational state-funded institution Gertsen Moscow oncological research institute Ministry of healthcare of Russian Federation
Russian Federation
Russian Federation
D. V. Sidorov
State educational state-funded institution Gertsen Moscow oncological research institute Ministry of healthcare of Russian Federation
Russian Federation
Russian Federation
L. O. Petrov
State educational state-funded institution Gertsen Moscow oncological research institute Ministry of healthcare of Russian Federation
Russian Federation
Russian Federation
L. A. Mitina
State educational state-funded institution Gertsen Moscow oncological research institute Ministry of healthcare of Russian Federation
Russian Federation
Russian Federation
V. I. Kazakevich
State educational state-funded institution Gertsen Moscow oncological research institute Ministry of healthcare of Russian Federation
Russian Federation
Russian Federation
Ye. N. Slavnova
State educational state-funded institution Gertsen Moscow oncological research institute Ministry of healthcare of Russian Federation
Russian Federation
Russian Federation
E. V. Prozorova
State educational state-funded institution Gertsen Moscow oncological research institute Ministry of healthcare of Russian Federation
Russian Federation
Russian Federation
Prozorova Elina V — post-graduate student, abdominal surgery department
125284, Moscow, 2-nd Botkinsky pr., 3
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Review
For citations:
Stepanov S.O., Rubtsova N.A., Sidorov D.V., Petrov L.O., Mitina L.A., Kazakevich V.I., Slavnova Ye.N., Prozorova E.V. Ultrasound investigation in estimation of vascular invasion and morphological verification of pancreatic tumors. Russian Journal of Gastroenterology, Hepatology, Coloproctology. 2014;24(5):86-91. (In Russ.)
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