International Journal of Medical and Health Research

International Journal of Medical and Health Research


International Journal of Medical and Health Research
International Journal of Medical and Health Research
Vol. 6, Issue 3 (2020)

Multimodality imaging evaluation of pancreatic masses and their pathological correlation


Dr. Vijinder Arora, Dr. Amandeep Singh, Dr. Seerat Kaur Bhatia, Dr. Cl Thukral, Dr. Gurjyot Singh Nanda

Background: Aims and Objectives: To assess the role of multimodality imaging in evaluation of pancreatic lesions as a useful diagnostic tool. 2) To correlate the imaging findings with guided fine needle aspiration cytology (fnac)/ pathological findings of the pancreatic lesion. Material and Methods: The present study was conducted for a period of two years in Department of Radiodiagnosis and Imaging of Sri Guru Ram Das Charitable Hospital, Sri Amritsar. 30 patients with clinically suspected pancreatic lesions admitted to various wards or attending OPD were included in the study. Results: Provisional radiological diagnosis of adenocarcinoma was made in 21 cases (70%), however only 18 (60%)out of these cases were pathologically proven to be ductal adenocarcinoma, 2 out of them were actually mucinous cystic neoplasm, 1 out of them was a secondary metastatic deposits. In 2 (6%) cases diagnosis of pancreatic neuroendocrine tumor was made, and in 2 (6%) cases suggestion of serous cyst adenoma was made which was proven to be so on pathology. Suggestion of acute necrotic pancreatitis was made in one (3%) case and solid pseudopapillary neoplasm was made in another one case (3%) it was proven to be so on pathology. Conclusion: Transabdominal ultrasonography was able to detect pancreatic lesion in 70% cases and in 100% cases on computed tomography. Multimodality imaging has high overall sensitivity and specificity for detecting benign and malignant lesions of pancreas i.e. 100% in our study, however it has good overall sensitivity and average specificity and accuracy for characterisation of lesions of pancreas i.e. sensitivity, specificity and accuracy were 82.14%, 50% and 80% respectively in our study. A need thus exists for multiple studies to produce significant in – road towards the appropriate imaging diagnosis of pancreatic pathologies.
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How to cite this article:
Dr. Vijinder Arora, Dr. Amandeep Singh, Dr. Seerat Kaur Bhatia, Dr. Cl Thukral, Dr. Gurjyot Singh Nanda. Multimodality imaging evaluation of pancreatic masses and their pathological correlation. International Journal of Medical and Health Research, Volume 6, Issue 3, 2020, Pages 72-78
International Journal of Medical and Health Research