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Medicine Group Review Article Article ID: igmin185

Diagnostic Challenges in Pancreatic Tumors

Gastroenterology
Ionuţ Simion Coman 1,2 ,
Elena Violeta Coman * 1,2 ,
Costin George Florea 2 ,
Teodora Elena Tudose 2 ,
Cosmin Burleanu 2 ,
Anwar Erchid 2 and
Valentin Titus Grigorean 1,2
Affiliation

Affiliation

    Carol Davila University of Medicine, Bucharest, Romania | Department of General Surgery, Bagdasar-Arseni Clinical Emergency Hospital, Bucharest, Romania

    Carol Davila University of Medicine, Bucharest, Romania | Department of General Surgery, Bagdasar-Arseni Clinical Emergency Hospital, Bucharest, Romania

    Carol Davila University of Medicine, Bucharest, Romania | Department of General Surgery, Bagdasar-Arseni Clinical Emergency Hospital, Bucharest, Romania

    Department of General Surgery, Bagdasar-Arseni Clinical Emergency Hospital, Bucharest, Romania

    Department of General Surgery, Bagdasar-Arseni Clinical Emergency Hospital, Bucharest, Romania

    Department of General Surgery, Bagdasar-Arseni Clinical Emergency Hospital, Bucharest, Romania

    Department of General Surgery, Bagdasar-Arseni Clinical Emergency Hospital, Bucharest, Romania

    Carol Davila University of Medicine, Bucharest, Romania | Department of General Surgery, Bagdasar-Arseni Clinical Emergency Hospital, Bucharest, Romania

DOI10.61927/igmin185 Fulltext HTML Fulltext PDF Cite this article
DOI10.61927/igmin185 Fulltext HTML Fulltext PDF Cite this article

Abstract

Background: Pancreatic tumors have a large diversity, with an increasing incidence and mortality. Although the diagnosis methods have improved in recent years, establishing a diagnosis and a histopathological type of pancreatic tumor can still pose a challenge. 
Aim: We propose to present a concise list of difficulties regarding the clinical, biological, and imagistic diagnosis of pancreatic tumors. 
Key information: The clinical manifestations of pancreatic tumors depend on their location and size, on the presence of metastatic lesions, but the difficulty of orientation towards this diagnosis is determined by the fact that most lesions are asymptomatic or present in the early stages of non-specific symptoms. The usual biological parameters are non-specific in pancreatic tumors in the early stages, but studies are underway regarding a series of biomarkers, genetic micro-sequences, or inorganic nanomaterials that could be used in the early diagnosis of pancreatic cancers. An essential stage in the diagnosis of pancreatic tumors is represented by imaging investigations, which are associated with endoscopic and tumor biopsy procedures and can outline a picture regarding the presence of the tumor at the level of the pancreas, the relationship with the neighboring organs, the nature of the tumor and the histopathological type. There are a series of indications and limitations regarding each of these investigations, trying to develop various algorithms for the diagnosis of pancreatic tumors. 
Conclusion: The medical research conducted to develop new diagnostic procedures has the objective of ensuring an early diagnosis of pancreatic tumors, in a stage that offers the best chances of recovery for the patient.

Figures

Algorithm for the diagnosis of pancreatic tumors; CT: Computed Tomography; MRI: Magnetic Resonance Imaging; EUS: Endoscopic Ultrasonography; FNA: Fine Needle Aspiration; reproduced after [17]. Figure 1: Algorithm for the diagnosis of pancreatic tumors; ...

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