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Annals of Oncology 10:S12-S17, 1999
© 1999 European Society for Medical Oncology

Review

Computed tomography in the diagnosis and staging of cholangiocarcinoma and pancreatic carcinoma

Patrick C. Freeny

University of Washington School of Medicine, Department of Radiology Seattle, WA, U.S.A.

Correspondence to: Patrick C. Freeny, M.D., Professor of Radiology, Director of Abdominal Imaging, University of Washington School of Medicine, Department of Radiology, Box 357115, 1959 Pacific Ave., Seattle, WA 98195, USA, E-mail: freeny{at}u.washington.edu

This paper is a review of the current techniques and results of helical CT in the diagnosis andstaging of pancreatic adenocarcinoma and cholangiocarcinoma of the intra and extra-hepatic biliaryducts. CT has a diagnostic accuracy rate of over 95% for detection and diagnosis of pancreatic carcinoma and close to 100% in staging unresectable tumors. The accuracy of staging surgically resectable tumors is about 80%. Accuracy of determining the level of biliary obstruction caused by cholangiocarcinoma is close to 100%. The accuracy of making a specific diagnosis is about 78%.

bile ducts, cholangiocarcinoma, computed tomography, pancreas, pancreatic carcinoma


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