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Int J Clin Oncol (2010) 15:294–300 DOI 10.1007/s10147-010-0066-5 O R I G IN AL ARTI CL E Preoperative assessment of para-aortic lymph node metastasis in patients with pancreatic cancer • • • • Hisashi Imai Ryuichiro Doi Hiroyuki Kanazawa Naoko Kamo • • • • Masayuki Koizumi Toshihiko Masui Yasuhiro Iwanaga Yoshiya Kawaguchi • • Yasutsugu Takada Hiroyoshi Isoda Shinji Uemoto Received: 23 July 2009 / Accepted: 4 February 2010 / Published online: 16 March 2010 Japan Society of Clinical Oncology 2010 Abstract no significant differences between patients with and with- Background Para-aortic lymph node (PALN) metastasis out PALN metastasis. is an important prognostic factor in patients with pancreatic Conclusions Preoperative detection of PALN metastasis cancer, but accurate preoperative diagnosis is difficult. The in patients with pancreatic cancer is very difficult. Intra- objective of this study was to assess the accuracy of operative histopathological examination of frozen sections diagnosis of PALN by computed tomography (CT), mag- is necessary if radical resection is contemplated. netic resonance imaging (MRI), and F-fluorodeoxyglu- cose positron-emission tomography (FDG-PET). Keywords Invasive ductal carcinoma of the pancreas Methods From August 2005 to July 2008, 119 patients Para-aortic lymph node metastasis Diagnostic imaging with invasive ductal
International Journal of Clinical Oncology – Springer Journals
Published: Mar 16, 2010
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