Oncology

Answer 4 CT scan and laparoscopy. It is generally accepted that computed tomographic (CT) scans have an excellent predictive capacity to identify unresectable pancreatic cancer; however, resectability may not be determined in up to 20% of patients. CT scans fail to detect metastatic tumors that are smaller than 5 mm in diameter, such as small-volume peritoneal and hepatic metastases. Accurate staging is the cornerstone of treatment decisions for patients with pancreatic cancer; thus, diagnostic laparoscopy is indicated because it enables visual examination of the liver and the peritoneum and provides the capacity to biopsy potential extrapancreatic disease. Click here to return to the questions

Hospital Physician     JCOM     Seminars in Medical Practice Hospital Physician Board Review Manuals About TWC    Subscribe    Contact TWC    Home    Search   Site Map Copyright © 2009, Turner White Communications Updated 1/04/08 • kkj