Erschienen in:
01.02.2014 | main topic
Clinical approach to the patient with a solid pancreatic mass
verfasst von:
Prof. Dr. Reinhold Függer, Odo Gangl, Uwe Fröschl
Erschienen in:
Wiener Medizinische Wochenschrift
|
Ausgabe 3-4/2014
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Summary
Diagnosis and clinical work-up of a solid pancreatic mass is a challenging problem. Patients’ history, laboratory parameters, computed tomography magnetic resonance imaging, and endosonography are the cornerstones in diagnosis. Biopsy is indicated in selected patients. The main goal of surgical indication is to select patients with suspected malignancy who are resectable, but avoid unnecessary resections. About 5 % of patients resected due to suspicion of malignancy finally present with a benign histology. Autoimmune pancreatitis is the most frequent cause of such unnecessary resections.