Role of contrast enhanced CT in the diagnosis of carcinoma pancreas and its mimics in Indian scenario

Dr Abhishek Dwivedi; B P Singh

Volume : V, Issue : XI, November - 2016

Role of contrast enhanced CT in the diagnosis of carcinoma pancreas and its mimics in Indian scenario

Dr Abhishek Dwivedi, B P Singh

Abstract :

Carcinoma head of pancreas is a disease with grave prognosis and the only curative treatment is surgery. Pancreatic lesions as autoimmune pancreatitis and interstitial pancreatitis are close mimic of the lesion. AIM: To use imaging in differentiating carcinoma pancreas and its close mimics. Material and methods The study was a retrospective study of 93 patients were evaluated, including 40 patients with autoimmune pancreatitis, 26 patients with pancreatic adenocarcinoma, and 27 patients with acute interstitial pancreatitis, their imaging and the diffrentaiting features wrere studied statistically with the help of Pearson‘s chi-squared test. Result: The most common findings associated with autimmune pancreatitis was diffuse involvement while in carcinoma pancreas it was focal involvement and in acute interstitial pancreatitis was peripancreatic fat stranding. Conclusion: The study highlights the significant positive findings on the multidetector CECT for an early diagnosis and early management if the pancreatic lesions. This helps in reduction of the chances of unnecessary surgical managements and thus reduces the time of management and mortality in the patients