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The value of diagnostic aids in detecting pancreas cancer
d~t~~ti~
dS in PJ, For’:ner J( MK, Sherlock I’, &on RC, Schwa Schottenfeld I), nua RS, Cubilla J. Ll,@htdale C,J. ller 3, wnawor L@ldner SO, Mtssslbiam? JS, Msndendez. Botst CJ, Poleski Ml+, Center 41:&S. 1978
,
By eontract with the National Cancer Institute, the aecuracy o’l diqnostic tecboiques was assessed in f&t vtbntr suspected of havin&t pancreas cancer. Of 138 pilt$nts who were operated “pan, 89 were found to hove pancreas duct cancer, 30 had ca”wr of a diffe@ot site ofori@ in the head of the psntzrar r&m and in 19 there was no evidrnz of cancer at operation. All of the 46 patients who were not operatnd won, 13 woven to have wncer and 33 paticntd discha BE free of calmer, were followed in our clink. maprity of our pattats presented with signs sad symptoms of billary obstruction. Cornputwized tnnrslial tomography KIT) gave a “carrat” di sin 31 of 33 patients (94%) with pmwn cancer, were 2 patients with D false negative mpott and a f&s positive diagnosis occurred in 8 of 20 p&tknta (40%) without ~WIOX. Ccliac aogiography (CA) gave a correct d&no& in 78 of 91 patients (83%) with cdnoer, a false negative in 17%. and R f&a positive in 32% I’LSclMethlonine p~nnear uon of .I6 patients (7S%) w th rthc In 26% sod sl false wnphy owe a corrwt tr with crmcer (67%), A poritlw Is 28%. En.
and nith wan-cirncc~ous diwwa. In our hands, CIT, CA. nlkniine phospharasc, I’~Selmethinn:a~c and ultrssonograpby, in dsrendiqy order, kave given the biihest pewntage Iof correct disgtiosen but false positive and f&e negative diagnoses prevented any single test from being conclusive. Asthor’s
c~mbral tumw vu” Dollen S Afr Msd J 53~17’1 1978
Abstract
JR, Uan~rigsr
A,
I *
Po@radiation cerebral nwmsh simulating tumorswas found in two patients by CT. ‘The appwtmce was indistii:p,uishable from that of a ream-ant tmnor in one patic:!t nod n gliomn in the second. The rignificruxe of the scan findings was realized anlg after surgery and blitologk eaamtpation. The investiiatioo rppeltrs to offer no assisianc!? in diffnentiatiog between the= conditions. Author’s Abstmc! Camputwlwd ~~n~ra~y In tha 8tMdy of Weel’o ayndrom,r G&awl t:, Ga&.ut JL. Reals Ii. Barnard R. Plnaard N. Sidnt-Je~~i M,“FWgirJ, D&t C, O&Mtrd Child Neurot 20:21, 1871) Tbirty.sevun chi!dmn prwntiag with WI& syndmme were studied by CT scmrdng. An Dnormnlity mnsiating of diffuse cerebral atru@by. predominating in the frolutotemperal mgion, ‘was drrmcnstr,nted in 30 cases. The abnormality was somnimep woclatfd with cateitlcatlon (tubewas sclsnais! 01 rnat~~~t~o~ (a~n~is of the cotpus csllosu atmpby and its nl&m.&lp to cl
dS in PJ, For’:ner J( MK, Sherlock I’, &on RC, Schwa Schottenfeld I), nua RS, Cubilla J. Ll,@htdale C,J. ller 3, wnawor L@ldner SO, Mtssslbiam? JS, Msndendez. Botst CJ, Poleski Ml+, Center 41:&S. 1978
,
By eontract with the National Cancer Institute, the aecuracy o’l diqnostic tecboiques was assessed in f&t vtbntr suspected of havin&t pancreas cancer. Of 138 pilt$nts who were operated “pan, 89 were found to hove pancreas duct cancer, 30 had ca”wr of a diffe@ot site ofori@ in the head of the psntzrar r&m and in 19 there was no evidrnz of cancer at operation. All of the 46 patients who were not operatnd won, 13 woven to have wncer and 33 paticntd discha BE free of calmer, were followed in our clink. maprity of our pattats presented with signs sad symptoms of billary obstruction. Cornputwized tnnrslial tomography KIT) gave a “carrat” di sin 31 of 33 patients (94%) with pmwn cancer, were 2 patients with D false negative mpott and a f&s positive diagnosis occurred in 8 of 20 p&tknta (40%) without ~WIOX. Ccliac aogiography (CA) gave a correct d&no& in 78 of 91 patients (83%) with cdnoer, a false negative in 17%. and R f&a positive in 32% I’LSclMethlonine p~nnear uon of .I6 patients (7S%) w th rthc In 26% sod sl false wnphy owe a corrwt tr with crmcer (67%), A poritlw Is 28%. En.
and nith wan-cirncc~ous diwwa. In our hands, CIT, CA. nlkniine phospharasc, I’~Selmethinn:a~c and ultrssonograpby, in dsrendiqy order, kave given the biihest pewntage Iof correct disgtiosen but false positive and f&e negative diagnoses prevented any single test from being conclusive. Asthor’s
c~mbral tumw vu” Dollen S Afr Msd J 53~17’1 1978
Abstract
JR, Uan~rigsr
A,
I *
Po@radiation cerebral nwmsh simulating tumorswas found in two patients by CT. ‘The appwtmce was indistii:p,uishable from that of a ream-ant tmnor in one patic:!t nod n gliomn in the second. The rignificruxe of the scan findings was realized anlg after surgery and blitologk eaamtpation. The investiiatioo rppeltrs to offer no assisianc!? in diffnentiatiog between the= conditions. Author’s Abstmc! Camputwlwd ~~n~ra~y In tha 8tMdy of Weel’o ayndrom,r G&awl t:, Ga&.ut JL. Reals Ii. Barnard R. Plnaard N. Sidnt-Je~~i M,“FWgirJ, D&t C, O&Mtrd Child Neurot 20:21, 1871) Tbirty.sevun chi!dmn prwntiag with WI& syndmme were studied by CT scmrdng. An Dnormnlity mnsiating of diffuse cerebral atru@by. predominating in the frolutotemperal mgion, ‘was drrmcnstr,nted in 30 cases. The abnormality was somnimep woclatfd with cateitlcatlon (tubewas sclsnais! 01 rnat~~~t~o~ (a~n~is of the cotpus csllosu atmpby and its nl&m.&lp to cl