PMID- 16231278 OWN - NLM STAT- MEDLINE DCOM- 20060103 LR - 20191210 IS - 0007-1323 (Print) IS - 0007-1323 (Linking) VI - 92 IP - 12 DP - 2005 Dec TI - Endoscopic ultrasonography for evaluation of pancreatic tumours in multiple endocrine neoplasia type 1. PG - 1508-12 AB - BACKGROUND: Pancreatic tumours are common in patients with multiple endocrine neoplasia type 1 (MEN1), and close surveillance is needed to detect pancreatic lesions at an early stage. Conventional radiology is inefficient in verifying the small tumours indicated by biochemical screening. During the past decade, endoscopic ultrasonography (EUS) has evolved as a sensitive method for the detection of small pancreatic lesions. METHODS: EUS was evaluated in 25 patients with MEN1, two of whom had symptoms due to hormonal secretion. Twenty-two patients had biochemical signs of pancreatic tumours, and in five patients lesions were located by either computed tomography (two) or transabdominal ultrasonography (three). RESULTS: EUS visualized pancreatic tumours in the five patients in whom lesions were detected by the other methods and in a further nine patients. Eight of these 14 patients had surgery, and tumours were confirmed histopathologically. No lesion was detected in any of the 11 patients with no tumour detected by EUS. CONCLUSION: EUS is a more sensitive technique for the detection and localization of potentially malignant lesions in patients with MEN1 than computed tomography or transabdominal ultrasonography. CI - Copyright (c) 2005 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd. FAU - Hellman, P AU - Hellman P AD - Department of Surgery, University Hospital, SE-751 85 Uppsala, Sweden. per.hellman@surgsci.uu.se FAU - Hennings, J AU - Hennings J FAU - Akerstrom, G AU - Akerstrom G FAU - Skogseid, B AU - Skogseid B LA - eng PT - Evaluation Study PT - Journal Article PL - England TA - Br J Surg JT - The British journal of surgery JID - 0372553 SB - IM MH - Adolescent MH - Adult MH - Aged MH - Endosonography/*instrumentation/methods MH - Equipment Design MH - Female MH - Humans MH - Male MH - Middle Aged MH - Multiple Endocrine Neoplasia Type 1/*diagnostic imaging MH - Pancreatic Neoplasms/*diagnostic imaging/surgery MH - Preoperative Care/methods EDAT- 2005/10/19 09:00 MHDA- 2006/01/04 09:00 CRDT- 2005/10/19 09:00 PHST- 2005/10/19 09:00 [pubmed] PHST- 2006/01/04 09:00 [medline] PHST- 2005/10/19 09:00 [entrez] AID - 10.1002/bjs.5149 [doi] PST - ppublish SO - Br J Surg. 2005 Dec;92(12):1508-12. doi: 10.1002/bjs.5149.