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Laparoscopy preferable to imaging procedures in detecting metastases of a pancreas carcinoma to the liver

✍ Scribed by T. Nishizaki; T. Matsumata; E. Adachi; K. Sugimachi

Publisher
Springer
Year
1994
Tongue
English
Weight
865 KB
Volume
8
Category
Article
ISSN
0930-2794

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✦ Synopsis

In two patients a pancreatic mass, 6 and 4 cm in diameter, respectively, was detected using imaging techniques. Computed tomography, ultrasound, and angiography revealed no evidence of a metastatic lesion in the liver. In the first patient, exploration was done prior to a possible radical operation. Multiple hepatic metastases forming thin, flat lesions on the surface of the liver were present and palliative surgery only was done. In the other patient, laparoscopy was done before surgical exploration and multiple hepatic metastases on the surface of the liver were clearly evident. Laparoscopy can help to avoid unnecessary explorations in patients with large pancreas cancer.

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## Background: Bone marrow is a common site of metastases in patients with small cell lung carcinoma (sclc) and female breast carcinoma (fbc). metastatic bone marrow involvement is found in approximately 50% of sclc patients and up to 85% of fbc patients at autopsy. initial staging procedures detec