Home > Journals > Minerva Gastroenterology > Past Issues > Minerva Gastroenterologica e Dietologica 2008 June;54(2) > Minerva Gastroenterologica e Dietologica 2008 June;54(2):161-76

CURRENT ISSUE
 

JOURNAL TOOLS

Publishing options
eTOC
To subscribe
Submit an article
Recommend to your librarian
 

ARTICLE TOOLS

Reprints
Permissions
Share

 

REVIEWS  AN UPDATE ON EUS IN 2008 

Minerva Gastroenterologica e Dietologica 2008 June;54(2):161-76

Copyright © 2008 EDIZIONI MINERVA MEDICA

language: English

Endoscopic ultrasonography and pancreatic cancer

Gardner T. B., Chari S. T.

Miles and Shirley Fiterman Center for Digestive Diseases, Mayo Clinic Rochester, MN, USA


PDF


Despite extensive multidisciplinary efforts, the five-year survival rate for all patients with pancreatic adenocarcinoma remains less than 3%. In the last twenty years, endoscopic ultrasound (EUS) has developed into an indispensable tool for the diagnosis and staging of malignant pancreatic lesions. EUS, in combination with helical and multidetector computed tomography scans, is currently 80-90% accurate in determining the tumor TNM stage. EUS fine-needle aspiration obtains diagnostic pathologic samples in approximately 80% of cases, and intraductal ultrasound has augmented the ability to determine the malignant potential of pancreatic strictures. In patients at high-risk for pancreatic malignancy, EUS has been advocated as a screening tool for malignancy. Finally, exciting new developments suggest the potential of EUS as a therapeutic tool, both for the management of pain from pancreatic cancer and as a novel therapeutic-delivery device.

top of page