EVOLUTION OF TOPICAL DIAGNOSTIC ALGORITHM FOR PANCREATIC HORMONE-PRODUCING NEUROENDOCRINE TUMORS
https://doi.org/10.16931/1995-5464.2016121-27
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Full Text:
Abstract
Aim. To reflect the main approaches and trends in neuroendocrine tumors imaging.
Materials and Methods. 255 patients with hormonally active pancreatic neuroendocrine tumors were examined and operated for the period 1990–2015. There were insulinomas predominantly. Sensitivity of ultrasonography, CT, endoscopic ultrasound, arterial-stimulated blood sampling, IOUS was analyzed to reveal changes in diagnostic algorithm for this period.
Results. Multiple pancreatic lesions occurred in 30%. Over the 25 years endosonography as new “gold” standard for pancreatic visualization was introduced. Indications for arterial-stimulated blood sampling were narrowed. However, this method is still actual and effective in the most difficult diagnostic situations.
Conclusion. Accurate preoperative topical diagnosis allows to offer optimal, organ-sparing procedure and reduce intraoperative trauma of the pancreas and number of postoperative complications.
About the Authors
A. V. EgorovRussian Federation
Egorov Alexey Victorovich – Doct. of Med. Sci., Professor, Head of the Oncologic Surgical Department.
6, str. B. Pirogovskaya, Moscow, 119435G. Kh. Musaev
Russian Federation
Musayev Gaziyav Khadisovich – Doct. of Med. Sci., Professor, Chair of Faculty Surgery №1, Medical Faculty.
6, str. B. Pirogovskaya, Moscow, 119435
E. V. Fominykh
Russian Federation
Fominykh Ekaterina Viktorovna – Cand. of Med. Sci., Head of the Department of Radiological Diagnosis.
6, str. B. Pirogovskaya, Moscow, 119435S. A. Kondrashin
Russian Federation
Kondrashin Sergey Alekseevich – Doct. of Med. Sci., Professor, Head of the Angiographic Cabinet.
6, str. B. Pirogovskaya, Moscow, 119435
V. A. Parnova
Russian Federation
Parnova Victoriya Alexandrovna – Cand. of Med. Sci., Doctor of the Oncologic Surgical Department.
6, str. B. Pirogovskaya, Moscow, 119435I. A. Vasiliev
Russian Federation
Vasiliev Ivan Alekseevich – Cand. of Med. Sci., Doctor of the Oncologic Surgical Department.
6, Bolshaya Pirogovskaya str., Moscow, 1119435, Phone: +7-916-738-08-80
D. V. Lezhinsky
Russian Federation
Lezhinsky Dmitriy Valeryevich – Clinical Intern, Chair of Faculty Surgery №1, Medical Faculty.
6, str. B. Pirogovskaya, Moscow, 119435References
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Review
For citations:
Egorov A.V., Musaev G.Kh., Fominykh E.V., Kondrashin S.A., Parnova V.A., Vasiliev I.A., Lezhinsky D.V. EVOLUTION OF TOPICAL DIAGNOSTIC ALGORITHM FOR PANCREATIC HORMONE-PRODUCING NEUROENDOCRINE TUMORS. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2016;21(1):21-27. (In Russ.) https://doi.org/10.16931/1995-5464.2016121-27
ISSN 2408-9524 (Online)