Die Wertigkeit der Positronenemissionstomographie bei der Differentialdiagnose pankreatischer Erkrankungen unklarer Dignität aus chirurgischer Sicht

BACKGROUND: The pancreatic carcinoma is associated with a poor prognosis in spite of improved surgical technique and differential diagnosis to chronic pancreatitis is very difficult. The aim of the study was to evaluate the role of positron emission tomography (PET) with regard to the difference between pancreatic carcinoma and benign tumour as well as the importance of PET for surgical therapy and prognosis in patients. METHOD: With 124 patients with unknown pancreatic process FDG-PET was used in addition to the standard preoperative techniques and 103 patients had to undergo surgical therapy. RESULTS: With a sensitivity of 84% and a specificity of 65% in identifying pancreatic masses FDG-PET is a valid instrument. Besides PET simplifies detecting lymphnodes and is able to detect early carcinoma. The mortality during operation was 1,9%. The median of survival of patients with pancreatic carcinoma was only 5 month. CONCLUSION: FDG-PET presents a method with high correctness in pancreatic diagnostics, but there is no necessity to use it as a standard technique. Prognosis in patients could not be improved if pancreatic carcinoma was found and the situation remains discouragable.

Grantor dc:publisher

Publikationsserver der RWTH Aachen University

Year dc:date

2001

Author dc:creator

• Wilms, Kirsten

Contributors dc:contributor

• Kasperk, Reinhard

• info:eu-repo/classification/ddc/610
• Medizin

Statement dc:rights

• info:eu-repo/semantics/openAccess

Language dc:language

ger

Identifier

https://publications.rwth-aachen.de/search?p=id:%22RWTH-CONV-118826%22

OAI record oai:identifier

https://publications.rwth-aachen.de/oai2d?verb=GetRecord&metadataPrefix=oai_dc&identifier=oai%3Apublications.rwth-aachen.de%3A56739