Comparative Evaluation of Ultrasonography and Computed Tomography in Pancreatic Lesions

Authors

  • Samita Gupta Assistant Prof. Department of Radiodiagnosis and Imaging, Maharishi Markandeshwer Institute of Medical Sciences and Research (MMIMSR), Mullana, Ambala, Haryana
  • Amit Mittal Professor and Head, Department of Radiodiagnosis and Imaging, MMIMSR, Mullana, Ambala, Haryana
  • Raj Kumar Arion Professor, Department of Radiodiagnosis and Imaging, MMIMSR, Mullana, Ambala, Haryana
  • Rikki Singal Associate Prof. Department of Surgery, MMIMSR, Mullana, Ambala, Haryana

DOI:

https://doi.org/10.3329/jom.v17i2.30068

Keywords:

Pancreatitis, tumors, Ultrasonography, CT, Pathology.

Abstract

Background: Aims and Objectives - 1) to do a comparative evaluation of ultrasonography and computed tomography in pancreatic lesions and assess their role as a useful diagnostic tool. 2) To correlate the USG and CT findings with fine needle aspiration cytology (FNAC)/ histopathological findings/ laboratory tests / therapeutic follow up wherever performed,

Material and Methods: The present study was carried out in the Department of Radio-diagnosis, Maharishi Markandeshwar Institute of Medical Sciences and Research, Mullana, Ambala. Thirty patients presenting with signs and symptoms of suspected pancreatic lesions referred from various wards and outpatient departments were included in the study.

Results: On USG, inflammatory lesions were diagnosed in 15 cases (50%), and on CT scan, the diagnosis was made in 18 patients (60%). Combining the USG & CT findings of inflammatory lesions, the provisional radiological diagnosis of focal pancreatitis was made in 1 case but it was proven to be adenocarcinoma on FNAC. Provisional diagnosis of adenocarcinoma was made in 8 cases, lymphoma in 2 cases, macrocystic adenoma in 1 case and cystadenocarcinoma in 1 case on both USG and CT scan. However on FNAC, adenocarcinoma was proved in 10 patients, lymphoma was found in one case. Thus the provisional radiological diagnosis was correct in 28 patients (93.7%).

Conclusion: Sonography detected pancreatic pathology in 27 cases (90%) but CT scan detected pancreatic lesions in all the 30 patients (100%). Present study had been undertaken to do a comparative evaluation of ultrasonography and computed tomography in pancreatic lesions and correlated the findings with fine needle aspiration cytology (FNAC) / HPE / laboratory tests / therapeutic follow up wherever performed. A need thus exists for multiple studies to produce significant in road towards the appropriate imaging diagnosis of pancreatic pathologies as despite the rapid advances in imaging techniques, the overall impact of these modalities on the management and outcome of patients is still debatable

J MEDICINE July 2016; 17 (2) : 66-78

Downloads

Download data is not yet available.
Abstract
35
PDF
47

Author Biography

Samita Gupta, Assistant Prof. Department of Radiodiagnosis and Imaging, Maharishi Markandeshwer Institute of Medical Sciences and Research (MMIMSR), Mullana, Ambala, Haryana



Downloads

Published

2016-10-23

How to Cite

Gupta, S., Mittal, A., Arion, R. K., & Singal, R. (2016). Comparative Evaluation of Ultrasonography and Computed Tomography in Pancreatic Lesions. Journal of Medicine, 17(2), 66–78. https://doi.org/10.3329/jom.v17i2.30068

Issue

Vol. 17 No. 2 (2016)

Section

Original Articles

License

Authors who publish with this journal agree to the following terms:

    1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

    1. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

  1. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).