الفهرس 
Anatomy of pancreasOnly 14 pages are availabe for public view
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Abstract
Pancreatic adenocarcinoma is one of the most aggressive forms of cancer. It is the fourth most common cause of cancer-related mortality worldwide. The prognosis of pancreatic cancer is still bleak, as the 5-year survival rate is less than 5% and the mortality rate has not declined over the last few decades.
The incidence rate is near equaling that of its mortality rate. At presentation, about 42% of patients with pancreatic cancer are diagnosed with (stage III) and 17.5% are diagnosed with distant metastasis.
The accurate characterization of pancreatic adenocarcinoma is very important for patient management. Computer tomography (CT) and magnetic resonance imaging (MRI) are the most important modalities for evaluating pancreatic lesions. A precise diagnosis of pancreatic tumor is not always simple because the tumor can have atypical imaging features and many other disorders may mimic pancreatic adenocarcinoma.
MDCT has become the modality of choice in the preoperative diagnosis and staging of the disease and in treatment planning and follow-up in patients with pancreatic tumors.
In the present study we aimed to evaluate the role of multidetector computed tomography in diagnosis and staging of pancreatic head cancer 40 patients were include.
- Mean age of patients was 59.15 years with most of patients aged 50-60 years and male predominant.
- Jaundice was the most common clinical presentation followed by epigastric pain, dyspepsia, anorexia, vomiting and weight loss.
- CT finding of included patients showed that 60% of patients had nodal spread and 27.5% had vascular invasion.82.5% of patients had no metastasis and other had positive metastasis in liver metastasis 12.5%, pulmonary metastasis in 2.5% and right suprarenal metastasis in 2.5%
- After using MDCT there were insignificant differences between pancreatic mass size and occurrence of metastasis p-value 0.197.