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Endoscopic ultrasound (EUS) and computed tomography (CT) are frequently used for detecting lymph node involvement in pancreatic cancer. We compare the diagnostic accuracy of these 2 techniques. Consecutive patients with pancreatic cancer undergoing laparotomy in the past 3 years with EUS and CT of the abdomen and pelvis were reviewed. The CT reports were read by a radiologist with expertise in lymph node staging. The EUS reports were read by a gastroenterologist. Each was considered positive for lymph node involvement if the diameter was > or =10 mm. We calculated diagnostic indices for EUS and CT. The independent predictive value of size and/or number of positive nodes for lymph node involvement was also calculated. Positivity rates and diagnostic indices were compared using chi-square, ANOVA, and Mann-Whitney U tests. A total of 109 patients (76 men, 33 women; age range, 39-87 years; mean age, 72 years) were studied. A total of 146 nodes were examined, 51 by EUS and 105 by CT. The positive predictive value of EUS and CT for lymph node involvement was 60% and 58%, respectively (P = 0.83), and the negative predictive values were 67% and 96%, respectively (P or =1 node (P = 0.38) and of > or =5 nodes (P = 0.54) were similar. However, for an individual patient, the positive predictive value of EUS was significantly higher than that of CT (P = 0.006). EUS was significantly more accurate than CT in determining lymph node involvement in pancreatic cancer patients (diagnostic index, 1.7 versus 1.4; P = 0.009). In patients undergoing laparotomy for pancreatic cancer, EUS is more accurate than CT in assessing nodal involvement in these patients.I will always be a true believer of our supreme being. I was raised in a religious home and taught at an early age that God loves us and wants the best for all. I was raised in an ethnically diverse household. My mother was an extreme catholic and my father was a devestant baptist and in my early 20 http://www.brickandmortarmi.com/aviation-icons-crack-product-key-full-latest/

 

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