Routine Chest Computed Tomography for Staging of Pancreatic Head Carcinoma

Dianne Leeuw*, Bobby K Pranger, Koert P de Jong, Jan Pieter Pennings, Vincent E de Meijer, Joris I Erdmann

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

1 Citation (Scopus)

Abstract

Objectives

The diagnostic value of routine chest computed tomography (CT) in addition to abdominal CT in workup for pancreatic head carcinoma is unclear. The aim of this study was to determine if routine chest CT revealed significant lesions that altered the management of patients with suspected pancreatic head carcinoma.

Methods

All Dutch pancreatic cancer centers were surveyed on the use of chest CT in preoperative staging. In addition, a single-center retrospective cohort study was performed including all patients referred with suspected pancreatic head malignancy without chest CT between 2005 and 2016. The primary end point was the proportion of patients in which chest CT revealed clinically significant lesions, leading to a change in management.

Results

In 7 of 18 Dutch pancreatic cancer centers (39%), a preoperative chest CT is not routinely performed. In the study cohort, 170 of 848 patients (20%) were referred without chest CT and underwent one by local protocol. Chest CT revealed new suspicious lesions in 17 patients (10%), of whom 6 had metastatic disease (3.5%).

Conclusions

Routine use of chest CT in diagnostic workup for pancreatic head carcinoma reveals clinically significant lesions in 10% of patients, being metastases in up to 4%.

Original languageEnglish
Pages (from-to)387-392
Number of pages6
JournalPANCREAS
Volume49
Issue number3
Early online date2020
DOIs
Publication statusPublished - Mar-2020

Keywords

  • multiple pulmonary nodules
  • pancreas
  • pancreatic neoplasms
  • solitary pulmonary nodule
  • x-ray computed tomography
  • PULMONARY NODULES
  • ADENOCARCINOMA
  • CANCER
  • METASTASES
  • THERAPY
  • CONSEQUENCES
  • RESECTION
  • PATTERNS

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