title: [The clinical picture and diagnosis of pancreatic carcinoma].
abstract: A total of 97 patients with pancreatic carcinoma were examined with sonography, computed tomography of the pancreas and endoscopy of the stomach and duodenum. The tumor involved mainly the head of the pancreas in 69 (71.1%), the body in 21 (21.7%) and the tail in 7 (7.2%) patients. Two basic types of the disease were identified: disseminated in 83 patients and rare in 14 patients. The disseminated type included a central (45 patients) and a peripheral (38 patients) variant. The latter is classed as peripheral (n = 30) and paraduodenal (n = 8). The rare types included masked variants (n = 6), miniblastomas (n = 3), megablastomas (n = 2) of the pancreas, as well as thrombotic variants of the disease (n = 3). The highest diagnostic value of sonography and computed tomography was observed in intrinsic peripheral variants of carcinoma. Gastroduodenal endoscopy along with biopsy of suspected segments is highly diagnostic in paraduodenal variants of the disease.
authors.forename: A I
authors.initials: AI
authors.lastname: Khazanov
authors.forename: A S
authors.initials: AS
authors.lastname: Ivlev
authors.forename: A P
authors.initials: AP
authors.lastname: Vasil'ev
authors.forename: A V
authors.initials: AV
authors.lastname: Kalinin
authors.forename: V G
authors.initials: VG
authors.lastname: Nikitin
authors.forename: G V
authors.initials: GV
authors.lastname: Sidorenko
authors.forename: V A
authors.initials: VA
authors.lastname: Belogolovtsev
authors.forename: Iu K
authors.initials: IuK
authors.lastname: Seleznev
authors.forename: D K
authors.initials: DK
authors.lastname: Stepuro
authors.forename: G T
authors.initials: GT
authors.lastname: Miroshnichenko
mesh_terms: D001707:Biopsy, Needle; D002277:Carcinoma / Q000175:diagnosis*; D002760:Cholangiopancreatography, Endoscopic Retrograde; D003937:Diagnosis, Differential; D016145:Endoscopy, Digestive System; D006801:Humans; D010179:Pancreas / Q000000981:diagnostic imaging / Q000473:pathology; D010190:Pancreatic Neoplasms / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography