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Could An Endoscopic Ultrasound Miss Pancreatic Cancer?

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Posted on Thu, 27 Aug 2015
Question: Could an EUS miss pancreatic cancer? I had one about 17 months ago that was normal but I am still having some symptoms and losing weight.
This was an endoscopic ultrasound. I had a CT scan prior to the endoscopic ultrasound and it only showed a "small deformity in the region of the pancreatic head likely caused by a crossing vascular structure", which was what prompted the EUS. But the CT showed no masses.
doctor
Answered by Dr. Indranil Ghosh (8 hours later)
Brief Answer:
probability of pancreatic cancer is low

Detailed Answer:
Hi
Thanks for your query.

A single EUS can miss some early pancreatic cancers. But given that both CT and EUS were negative for pancreatic cancer 17 mo back, possibility of pancreatic cancer is low. And 17 mo have passed since. Though you have some symptoms, if it was untreated pancreatic cancer symptoms would have been much more worse.

Still, having another CT or MRI to be sure might be necessary. This might also help finding the cause for your symptoms

Hope this helps. I will be available for further follow up.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Indranil Ghosh (14 hours later)
Thanks for the answer Dr. So I shouldnt be concerned with pancreatic cancer?
doctor
Answered by Dr. Indranil Ghosh (19 minutes later)
Brief Answer:
no

Detailed Answer:
Given the timeline of events and previous normal scans, possibility is quite low at this point of time.
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Indranil Ghosh

Oncologist

Practicing since :2004

Answered : 1712 Questions

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Could An Endoscopic Ultrasound Miss Pancreatic Cancer?

Brief Answer: probability of pancreatic cancer is low Detailed Answer: Hi Thanks for your query. A single EUS can miss some early pancreatic cancers. But given that both CT and EUS were negative for pancreatic cancer 17 mo back, possibility of pancreatic cancer is low. And 17 mo have passed since. Though you have some symptoms, if it was untreated pancreatic cancer symptoms would have been much more worse. Still, having another CT or MRI to be sure might be necessary. This might also help finding the cause for your symptoms Hope this helps. I will be available for further follow up. Regards