Linear endoscopic ultrasonography vs magnetic resonance imaging in ampullary tumors

doi:10.3748/wjg.v16.i44.5592

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Nov 28, 2010 (publication date) through May 7, 2024

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastroenterol. Nov 28, 2010; 16(44): 5592-5597
Published online Nov 28, 2010. doi: 10.3748/wjg.v16.i44.5592

Table 1 Demographic data and reasons for referral of patients with ampullary tumors

Patient No.	Sex/age (yr)	Referral reason
1	M/53	Liver enzymes elevation + jaundice
2	F/47	Abdominal pain
3	M/71	Liver enzymes elevation + jaundice
4	M/62	Liver enzymes elevation + jaundice
5	F/53	Liver enzymes elevation
6	F/67	Liver enzymes elevation
7	M/45	Liver enzymes elevation
8	M/73	Liver enzymes elevation
9	M/80	Liver enzymes elevation
10	F/44	Liver enzymes elevation
11	F/50	Liver enzymes elevation + jaundice
12	M/48	Liver enzymes elevation + jaundice
13	M/66	Liver enzymes elevation
14	M/67	Liver enzymes elevation + jaundice
15	M/59	Liver enzymes elevation
16	M/67	Liver enzymes elevation + jaundice
17	F/60	Liver enzymes elevation
18	M/63	Liver enzymes elevation + jaundice
19	F/54	Liver enzymes elevation + jaundice
20	M/65	Liver enzymes elevation
21	M/64	Liver enzymes elevation + jaundice
22	M/42	Liver enzymes elevation + jaundice
23	M/47	Liver enzymes elevation + jaundice
24	F/88	Liver enzymes elevation + jaundice

Table 2 Clinical-radiological variables and histological features of ampullary tumors

Patients	US	CT-scan	MRI	L-EUS	Endoscopic imaging + biopsies	Surgery	Definitive staging and histology
1	Not done	Neg	Suspicion:dilation CBD + WD	T2N0	Visible lesion 1.6 cm-HGD	DCP	PT2N0, ADK
2	Uncertain	Neg	Suspicion:dilation CBD + WD	T2N0	Visible lesion 2.0 cm-HGD	DCP	PT2N1, ADK
3	Not done	Neg	Suspicion:dilation CBD + WD	T2N0	Visible lesion 1.8 cm-HGD	DCP	PT2N0, ADK
4	Not done	Not done	Suspicion:dilation CBD + WD	T2N0	Visible lesion 2.0 cm -HGD	DCP	PT2N0, ADK
5	Not done	Not done	Suspicion:dilation CBD + WD	T2N0	Visible lesion 1.5 cm-HGD	DCP	PT2N0, ADK
6	Neg	Neg	Neg	T1N0	Visible lesion 2.0 cm-LGD	EMR	PT1N0, LGD
7	Not done	Neg	Neg	T1N0	Visible lesion 2.0 cm-LGD	EMR	PT1N0, LGD
8	Neg	Not done	Neg	T2N0	Visible lesion 2.0 cm -HGD	SA	PT1N0, HGD
9	Neg	Neg	Suspicion:dilation CBD	T2N0	Visible lesion 2.0 cm-ADK	DCP	PT2N0, ADK
10	Neg	Neg	Neg	T2N0	Visible lesion 2.0 cm HGD	DCP	PT2N0, ADK
11	Neg	Neg	Suspicion:dilation CBD + WD	T2N0	Visible lesion 2.0 cm-ADK	DCP	PT2N0, ADK
12	Neg	Neg	Suspicion:dilation CBD + WD	T2N0	Visible lesion 2.6 cm-ADK	DCP	PT2N1, ADK
13	Not done	Neg	Neg	T1N0	Visible lesion 1.5 cm-LGD	SA	PT1N0, LGD
14	Neg	Not done	Suspicion:dilation CBD	T2N0	Visible lesion 2.5 cm-ADK	DCP	PT2N0, ADK
15	Neg	Not done	Suspicion:dilation CBD	T2N1	Visible lesion 2.0 cm-HGD	DCP	PT2N0, ADK
16	Neg	Uncertain	Suspicion:dilation CBD	T2N1	Visible lesion 2.0 cm-HGD	DCP	PT2N0, ADK
17	Neg	Neg	Suspicion:dilation CBD	T2N1	Visible lesion 2.0 cm-ADK	DCP	PT2N0, ADK
18	Neg	Neg	Suspicion:dilation CBD	T2N1	Visible lesion 1.5 cm-ADK	DCP	PT2N1, ADK
19	Not done	Neg	Suspicion:dilation CBD + WD	T2N1	Visible lesion 2.0 cm-ADK	DCP	PT2N1, ADK
20	Neg	Neg	Suspicion:dilation CBD	T1N0	Visible lesion 1.5 cm-HGD	DCP	PT2N0, ADK
21	Not done	Neg	Neg	T2N1	Visible lesion 2.0 cm-ADK	DCP	PT2N0, ADK
22	Not done	Not done	Suspicion:dilation CBD	T2N0	Visible lesion 2.5 cm-not available	DCP	PT1N0, HGD
23	Uncertain	Neg	Suspicion:dilation CBD + WD	T2N1	Visible lesion 2.5 cm-ADK	DCP	PT2N1, ADK
24	Neg	Neg	Suspicion:dilation CBD + WD	T2N1	Visible lesion 2.0 cm-ADK	SA due to age	PT2N0, ADK

ADK: Adenocarcinoma; CBD: Common bile duct; DCP: Duodeno-cephalo-pancreasectomy; HGD: High grade dysplasia; LGD: Low grade dysplasia; Neg: Negative for ampullary tumor; SA: Surgical ampullectomy; WD: Wirsung duct; US: Ultrasound; CT: Computed tomography; MRI: Magnetic resonance imaging; L-EUS: Linear endoscopic ultrasound; EMR: Endoscopic mucosal resection.

Citation: Manta R, Conigliaro R, Castellani D, Messerotti A, Bertani H, Sabatino G, Vetruccio E, Losi L, Villanacci V, Bassotti G. Linear endoscopic ultrasonography vs magnetic resonance imaging in ampullary tumors. World J Gastroenterol 2010; 16(44): 5592-5597
URL: https://www.wjgnet.com/1007-9327/full/v16/i44/5592.htm
DOI: https://dx.doi.org/10.3748/wjg.v16.i44.5592