Cytologic examination of pancreatic juice for differential diagnosis of benign and malignant mucin producing tumors of the pancreas
Background. A new clinical type of pancreatic tumor, the mucin‐producing tumor, has been recognized recently. However, it is not always easy to distinguish benign from malignant tumors preoperatively. In this study, three different methods of differentiating mucin‐producing tumors of the pancreas we...
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Veröffentlicht in: | Cancer 1994-08, Vol.74 (3), p.826-833 |
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creator | Uehara, Hiroyuki Nakaizumi, Akihiko Lishi, Hiroyasu Tatsuta, Masaharu Kitamra, Tsugio Okuda, Shigeru Ohigashi, Hiroaki Ishikawa, Osamu Takenaka, Akemi Ishiguro, Shingo |
description | Background. A new clinical type of pancreatic tumor, the mucin‐producing tumor, has been recognized recently. However, it is not always easy to distinguish benign from malignant tumors preoperatively. In this study, three different methods of differentiating mucin‐producing tumors of the pancreas were compared.
Methods. Endoscopic ultrasonography, endoscopic retrograde pancreatography, and cytologic examination of pancreatic juice were performed in 14 patients who had mucin‐producing pancreatic tumors (11 carcinomas and 3 adenomas). Pancreatic juice was collected endoscopically without papillotomy.
Results. The sensitivity, specificity, and overall accuracy of endoscopic ultrasonography were 82%, 90%, and 79%, respectively; those of endoscopic retrograde pancreatography were 91%, 91%, and 86%; and those of cytologic examination were 91%, 100%, and 93%.
Conclusion. Cytologic examination of pancreatic juice was the best of these three methods for differentiating benign from malignant mucin‐producing pancreatic tumors. |
doi_str_mv | 10.1002/1097-0142(19940801)74:3<826::AID-CNCR2820740307>3.0.CO;2-7 |
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Methods. Endoscopic ultrasonography, endoscopic retrograde pancreatography, and cytologic examination of pancreatic juice were performed in 14 patients who had mucin‐producing pancreatic tumors (11 carcinomas and 3 adenomas). Pancreatic juice was collected endoscopically without papillotomy.
Results. The sensitivity, specificity, and overall accuracy of endoscopic ultrasonography were 82%, 90%, and 79%, respectively; those of endoscopic retrograde pancreatography were 91%, 91%, and 86%; and those of cytologic examination were 91%, 100%, and 93%.
Conclusion. Cytologic examination of pancreatic juice was the best of these three methods for differentiating benign from malignant mucin‐producing pancreatic tumors.</description><identifier>ISSN: 0008-543X</identifier><identifier>EISSN: 1097-0142</identifier><identifier>DOI: 10.1002/1097-0142(19940801)74:3<826::AID-CNCR2820740307>3.0.CO;2-7</identifier><identifier>PMID: 8039110</identifier><identifier>CODEN: CANCAR</identifier><language>eng</language><publisher>New York: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Adenocarcinoma, Mucinous - diagnosis ; Adenocarcinoma, Mucinous - diagnostic imaging ; Adenoma - diagnosis ; Adenoma - diagnostic imaging ; Aged ; Biological and medical sciences ; Cholangiopancreatography, Endoscopic Retrograde ; cytodiagnosis ; Diagnosis, Differential ; endoscopic retrograde pancreatography ; endoscopic ultrasonography ; Female ; Gastroenterology. Liver. Pancreas. Abdomen ; Humans ; Liver. Biliary tract. Portal circulation. Exocrine pancreas ; Male ; Medical sciences ; Middle Aged ; mucin‐producing tumor of the pancreas ; pancreatic juice ; Pancreatic Juice - cytology ; Pancreatic Neoplasms - diagnosis ; Pancreatic Neoplasms - diagnostic imaging ; Sensitivity and Specificity ; Tumors ; Ultrasonography</subject><ispartof>Cancer, 1994-08, Vol.74 (3), p.826-833</ispartof><rights>Copyright © 1994 American Cancer Society</rights><rights>1994 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c4787-d13a214243c2a88f3e5968f98bacf190823ae0017c92262e343f7b17babe3f883</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=4187500$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8039110$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Uehara, Hiroyuki</creatorcontrib><creatorcontrib>Nakaizumi, Akihiko</creatorcontrib><creatorcontrib>Lishi, Hiroyasu</creatorcontrib><creatorcontrib>Tatsuta, Masaharu</creatorcontrib><creatorcontrib>Kitamra, Tsugio</creatorcontrib><creatorcontrib>Okuda, Shigeru</creatorcontrib><creatorcontrib>Ohigashi, Hiroaki</creatorcontrib><creatorcontrib>Ishikawa, Osamu</creatorcontrib><creatorcontrib>Takenaka, Akemi</creatorcontrib><creatorcontrib>Ishiguro, Shingo</creatorcontrib><title>Cytologic examination of pancreatic juice for differential diagnosis of benign and malignant mucin producing tumors of the pancreas</title><title>Cancer</title><addtitle>Cancer</addtitle><description>Background. A new clinical type of pancreatic tumor, the mucin‐producing tumor, has been recognized recently. However, it is not always easy to distinguish benign from malignant tumors preoperatively. In this study, three different methods of differentiating mucin‐producing tumors of the pancreas were compared.
Methods. Endoscopic ultrasonography, endoscopic retrograde pancreatography, and cytologic examination of pancreatic juice were performed in 14 patients who had mucin‐producing pancreatic tumors (11 carcinomas and 3 adenomas). Pancreatic juice was collected endoscopically without papillotomy.
Results. The sensitivity, specificity, and overall accuracy of endoscopic ultrasonography were 82%, 90%, and 79%, respectively; those of endoscopic retrograde pancreatography were 91%, 91%, and 86%; and those of cytologic examination were 91%, 100%, and 93%.
Conclusion. Cytologic examination of pancreatic juice was the best of these three methods for differentiating benign from malignant mucin‐producing pancreatic tumors.</description><subject>Adenocarcinoma, Mucinous - diagnosis</subject><subject>Adenocarcinoma, Mucinous - diagnostic imaging</subject><subject>Adenoma - diagnosis</subject><subject>Adenoma - diagnostic imaging</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Cholangiopancreatography, Endoscopic Retrograde</subject><subject>cytodiagnosis</subject><subject>Diagnosis, Differential</subject><subject>endoscopic retrograde pancreatography</subject><subject>endoscopic ultrasonography</subject><subject>Female</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Humans</subject><subject>Liver. Biliary tract. Portal circulation. Exocrine pancreas</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>mucin‐producing tumor of the pancreas</subject><subject>pancreatic juice</subject><subject>Pancreatic Juice - cytology</subject><subject>Pancreatic Neoplasms - diagnosis</subject><subject>Pancreatic Neoplasms - diagnostic imaging</subject><subject>Sensitivity and Specificity</subject><subject>Tumors</subject><subject>Ultrasonography</subject><issn>0008-543X</issn><issn>1097-0142</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1994</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkV-LEzEUxYMoa3f1Iwh5EHEfpt4k00mmK8I6_ltYLIiC-BIyaVKzzCQ1mUH77Bc3Y7sFfRB8yr2cX25O7kHoJYE5AaDPCNS8AFLSp6SuSxBAznm5ZM8FrZbLy6tXRfO--UAFBV4CA_6CzWHerC5owe-g2fHyXTQDAFEsSvb5PjpN6Sa3nC7YCToRwGpCYIZ-NrshdGHjNDY_VO-8GlzwOFi8VV5Hk1uNb0anDbYh4rWz1kTjB6e63KiND8mlCW-NdxuPlV_jXnW5VH7A_aidx9sY1lOxwcPYh_gbH76a2xfSA3TPqi6Zh4fzDH168_pj8664Xr29ai6vC11ywYs1YYrmf5VMUyWEZWZRV8LWolXakhoEZcoAEK5rSitqWMksbwlvVWuYFYKdoSf7udnQt9GkQfYuadN1ypswJsmrilSsphn8sgd1DClFY-U2ul7FnSQgp4TktGQ5LVneJiR5KZnMCUmZE5J_JpQVkM1KUsnz8EcHF2Pbm_Vx9CGSrD8-6Cpp1dmYt-TSESuJ4AuYMLPHvrvO7P7L4D_9_aWwXyMrvFo</recordid><startdate>19940801</startdate><enddate>19940801</enddate><creator>Uehara, Hiroyuki</creator><creator>Nakaizumi, Akihiko</creator><creator>Lishi, Hiroyasu</creator><creator>Tatsuta, Masaharu</creator><creator>Kitamra, Tsugio</creator><creator>Okuda, Shigeru</creator><creator>Ohigashi, Hiroaki</creator><creator>Ishikawa, Osamu</creator><creator>Takenaka, Akemi</creator><creator>Ishiguro, Shingo</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Wiley-Liss</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19940801</creationdate><title>Cytologic examination of pancreatic juice for differential diagnosis of benign and malignant mucin producing tumors of the pancreas</title><author>Uehara, Hiroyuki ; Nakaizumi, Akihiko ; Lishi, Hiroyasu ; Tatsuta, Masaharu ; Kitamra, Tsugio ; Okuda, Shigeru ; Ohigashi, Hiroaki ; Ishikawa, Osamu ; Takenaka, Akemi ; Ishiguro, Shingo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4787-d13a214243c2a88f3e5968f98bacf190823ae0017c92262e343f7b17babe3f883</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1994</creationdate><topic>Adenocarcinoma, Mucinous - diagnosis</topic><topic>Adenocarcinoma, Mucinous - diagnostic imaging</topic><topic>Adenoma - diagnosis</topic><topic>Adenoma - diagnostic imaging</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Cholangiopancreatography, Endoscopic Retrograde</topic><topic>cytodiagnosis</topic><topic>Diagnosis, Differential</topic><topic>endoscopic retrograde pancreatography</topic><topic>endoscopic ultrasonography</topic><topic>Female</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Humans</topic><topic>Liver. Biliary tract. Portal circulation. Exocrine pancreas</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>mucin‐producing tumor of the pancreas</topic><topic>pancreatic juice</topic><topic>Pancreatic Juice - cytology</topic><topic>Pancreatic Neoplasms - diagnosis</topic><topic>Pancreatic Neoplasms - diagnostic imaging</topic><topic>Sensitivity and Specificity</topic><topic>Tumors</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Uehara, Hiroyuki</creatorcontrib><creatorcontrib>Nakaizumi, Akihiko</creatorcontrib><creatorcontrib>Lishi, Hiroyasu</creatorcontrib><creatorcontrib>Tatsuta, Masaharu</creatorcontrib><creatorcontrib>Kitamra, Tsugio</creatorcontrib><creatorcontrib>Okuda, Shigeru</creatorcontrib><creatorcontrib>Ohigashi, Hiroaki</creatorcontrib><creatorcontrib>Ishikawa, Osamu</creatorcontrib><creatorcontrib>Takenaka, Akemi</creatorcontrib><creatorcontrib>Ishiguro, Shingo</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Uehara, Hiroyuki</au><au>Nakaizumi, Akihiko</au><au>Lishi, Hiroyasu</au><au>Tatsuta, Masaharu</au><au>Kitamra, Tsugio</au><au>Okuda, Shigeru</au><au>Ohigashi, Hiroaki</au><au>Ishikawa, Osamu</au><au>Takenaka, Akemi</au><au>Ishiguro, Shingo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cytologic examination of pancreatic juice for differential diagnosis of benign and malignant mucin producing tumors of the pancreas</atitle><jtitle>Cancer</jtitle><addtitle>Cancer</addtitle><date>1994-08-01</date><risdate>1994</risdate><volume>74</volume><issue>3</issue><spage>826</spage><epage>833</epage><pages>826-833</pages><issn>0008-543X</issn><eissn>1097-0142</eissn><coden>CANCAR</coden><abstract>Background. A new clinical type of pancreatic tumor, the mucin‐producing tumor, has been recognized recently. However, it is not always easy to distinguish benign from malignant tumors preoperatively. In this study, three different methods of differentiating mucin‐producing tumors of the pancreas were compared.
Methods. Endoscopic ultrasonography, endoscopic retrograde pancreatography, and cytologic examination of pancreatic juice were performed in 14 patients who had mucin‐producing pancreatic tumors (11 carcinomas and 3 adenomas). Pancreatic juice was collected endoscopically without papillotomy.
Results. The sensitivity, specificity, and overall accuracy of endoscopic ultrasonography were 82%, 90%, and 79%, respectively; those of endoscopic retrograde pancreatography were 91%, 91%, and 86%; and those of cytologic examination were 91%, 100%, and 93%.
Conclusion. Cytologic examination of pancreatic juice was the best of these three methods for differentiating benign from malignant mucin‐producing pancreatic tumors.</abstract><cop>New York</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>8039110</pmid><doi>10.1002/1097-0142(19940801)74:3<826::AID-CNCR2820740307>3.0.CO;2-7</doi><tpages>8</tpages></addata></record> |
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subjects | Adenocarcinoma, Mucinous - diagnosis Adenocarcinoma, Mucinous - diagnostic imaging Adenoma - diagnosis Adenoma - diagnostic imaging Aged Biological and medical sciences Cholangiopancreatography, Endoscopic Retrograde cytodiagnosis Diagnosis, Differential endoscopic retrograde pancreatography endoscopic ultrasonography Female Gastroenterology. Liver. Pancreas. Abdomen Humans Liver. Biliary tract. Portal circulation. Exocrine pancreas Male Medical sciences Middle Aged mucin‐producing tumor of the pancreas pancreatic juice Pancreatic Juice - cytology Pancreatic Neoplasms - diagnosis Pancreatic Neoplasms - diagnostic imaging Sensitivity and Specificity Tumors Ultrasonography |
title | Cytologic examination of pancreatic juice for differential diagnosis of benign and malignant mucin producing tumors of the pancreas |
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