Paraaortic lymph node metastasis in patients with pancreatico-biliary carcinoma has been reported as a definite predictor of early recurrence and shorter survival term.
This study, performed by a team led by Professor Mi-Suk Park and Dr Young Chul Kim, is described in a research article to be published on April 14, 2008 issue in the World Journal of Gastroenterology.
The study evaluated 31 patients who underwent paraaortic lymphadenectomy to determine the accuracy of CT and MRI for presurgical characterization of paraaortic lymph nodes in patients with pancreatico-biliary carcinoma.
In patients with pancreatico-biliary carcinoma, paraaortic lymph node metastasis has a crucial impact on surgical indication or extent of operation. At present, many surgeons perform paraaortic lymphadenectomy for accurate assessment and decision for adequate extent of operation. However, because of its invasiveness and complications, paraaortic lymphadenectomy for pancreatico-biliary carcinoma is controversial
The accuracy of CT scan for the characterization of paraaortic nodes is no different to that of MRI. The results essentially support the validity of current clinical practice in the use of CT and MRI in the evaluation of paraaortic lymph node metastasis in patients with pancreatico-biliary carcinoma. CT or MRI could be used when selecting of candidates for lymphadenectomy in patients with pancreatico-biliary carcinoma.
Reference: Kim YC, Park MS, Cha SW, Chung YE, Lim JS, Kim KS, Kim MJ, Kim KW. World J Gastroenterol 2008; 14(14): 2208-2212 http://www.wjgnet.com/1007-9327/14/2208.asp
Correspondence to: Mi-Suk Park, MD, Department of Diagnostic Radiology, Severance Hospital, Seodaemun-ku, Shinchon-dong 134, Seoul 120-752, Korea. radpms@yuhs.ac Telephone: +82-22-2287400 Fax: +82-23-933035
About World Journal of Gastroenterology
World Journal of Gastroenterology (WJG), a leading international journal in gastroenterology and hepatology, has established a reputation for publishing first class research on esophageal cancer, gastric cancer, liver cancer, viral hepatitis, colorectal cancer, and H pylori infection. It provides a forum for both clinicians and scientists. WJG has been indexed and abstracted in Current Contents/Clinical Medicine, Science Citation Index Expanded (also known as SciSearch) and Journal Citation Reports/Science Edition, Index Medicus, MEDLINE and PubMed, Chemical Abstracts, EMBASE/Excerpta Medica, Abstracts Journals, Nature Clinical Practice Gastroenterology and Hepatology, CAB Abstracts and Global Health ISI JCR 2003-2000 IF: 3.318, 2.532, 1.445 and 0.993. WJG is a weekly journal published by WJG Press. The publication dates are the 7th, 14th, 21st, and 28th of every month. The WJG is supported by The National Natural Science Foundation of China, No. 30224801 and No. 30424812. It was founded with the title China National Journal of New Gastroenterology on October 1, 1995, and renamed WJG on January 25, 1998.
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World Journal of Gastroenterology