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Scholars Journal of Applied Medical Sciences | Volume-3 | Issue-07
The importance of radiological methods in the diagnosis of pancreatic carcinoma, experience at University Clinical Centre of Kosova (2011-2014)
Dedushi Kreshnike, Kabashi Serbeze, Hoxhaj Astrit, Muçaj Sefedin, Sadie Namani
Published: Oct. 29, 2015 | 64 68
DOI: 10.36347/sjams.2015.v03i07.040
Pages: 2639-2648
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Abstract
The aim of this paper is to evaluate and to analyze the importance of their imaging methods in diagnosis and stage of pancreatic carcinoma, our experience of imaging characteristics of recently diagnosed pancreatic cancers at University Clinical Center of Kosovo. This is a retrospective research study done during the period of 2011-2015. This retrospective research study includes 97 patients recently diagnosed with pancreatic cancer, examined in the period of 2011-2015 at the University Clinical Center of Kosovo. The imaging diagnostics are performed with Echo- Philips, MSCT Sensation 64 Siemens, MSCT Emotion 6 Siemens, and 1.5T MRI Symphony Siemens, in the Radiologic Clinic of UCCK; while the histopathology diagnostics has been performed in Clinic of Pathology at UCCK. Out of a total of the 97 patients diagnosed with pancreas cancer, 76 cases resulted in head and neck 79.4 % (n=76), 20 cases resulted in body and tail cancers (21%), 1 cases resulted metastasis in pancreas by carcinoma in colon, distant metastases in first imaging modality were found in(n=42) patients 43.3 %, local infiltration was found in patients: gastric infiltration (n=15), duodenal and papilla infiltration (n=26), local infiltration spleen (n=2), local infiltration mesentery ( n= 43), dilated biliary tree (n=34), regional lymph node infiltration (n=83). Out of a total of the 97 patients diagnosed with pancreas cancer ,85 cases resulted > 2 cm and 11 cases resulted < 2 cm and with component cystic was 41.2 %( n = 40), solid with component cystic – necrotic 33% (n=32), solid 25.8% (n=25). Seventy-four percent (74%, n=72) of all cancers are found in Stage III and IV. From an imaging point of view, these cancers were presented in an advanced stage, mainly due to their late clinical symptoms and limited access to imaging methods in our country.