The Superiority of Endoscopic Ultrasound over CT in the Diagnosis of Pancreatic Focal Lesions | ||
| Fayoum University Medical Journal | ||
| Volume 15, Issue 3, September 2025, Pages 252-267 PDF (662.93 K) | ||
| Document Type: Review Articles | ||
| DOI: 10.21608/fumj.2025.336367.1422 | ||
| Authors | ||
| Esam Elshimi* 1; Ahmed Attia2; Nabil oMAR2; M Mahfouz3; M Naguib3; Mohamed A Abo Elazm4; Sameh Abokoura5; Muhammad Abdel Ghaffar6 | ||
| 1professor of Hepatology and GIT, National Liver Institute | ||
| 2Shebin Elkom | ||
| 3AHMED MAHER | ||
| 4Ahmed Mher | ||
| 5professor of radiology National Liver Institute | ||
| 6cairo | ||
| Abstract | ||
| Background: The differential diagnosis of focal pancreatic lesions (PFLs) is crucial for patients, surgeons, radiologists, endoscopists, and oncologists. Currently, many diagnostic modalities are available, such as CT, the most widely used technique for diagnosing PFLs. However, no single diagnostic imaging tool is optimal. Aim: was to discuss the role of endoscopic ultrasonography (EUS) as an adjunct to CT regarding diagnosis, staging, and the possibility of intervention, Subjects and methods: Fifty patients with PFLs who attended the endoscopy unit at the National Liver Institute and the endoscopy unit at Ahmed Maher Teaching Hospital, CT and EUS ± FNA were done for included patients. Result: EUS is a sensitive diagnostic method for PFLs as the sensitivity, specificity, positive predictive value (PPV) negative predictive value (NPV), and overall accuracy of EUS in detecting pancreatic lesions were 95.2%, 100%, 100%, and 95.5% with an accuracy of 97.6% versus 61.9%, 82.8%, 78.2%, 68.5%, and 72.3% respectively. Conclusion; EUS is useful for detecting PFLs when CT is equivocal. EUS aided in the early diagnosis of PFLs. EUS–FNA identified the nature of the tumor with more precision; hence, it should be the initial diagnostic modality in diagnosing PFLs. | ||
| Keywords | ||
| EUS; CT; Pancreatic focal lesions | ||
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