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no patients with inclusion criteria
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Aim of the study will be to investigate if Endoscopic Ultrasound (EUS) with elastography can be purposed between the routine staging examinations in patients with pancreatic adenocarcinoma without distant metastasis for the staging of lymph nodes status ("N" in TNM classification)
Secondary aim will be to register the prognosis (in terms of survival) of the patients with para-aortic and mediastinal pathological lymph nodes (related to a decreases survival in some series in literature)
Pathological lymph nodes will be assessed by EUS with elastography as lymph nodes: hypoechoic, rounded, rigid (blue) and big (bigger than 1 centimeter)
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| malignant lymph nodes | Other | observational study |
| Measure | Description | Time Frame |
|---|---|---|
| CONCORDANCE (PERCENTAGE) of pathological lymph nodes at EUS with elastography and surgical pathology report | resectable pancreatic cancer | 2 years |
| OVERALL SURVIVAL (MONTHS) in metastatic lymph node presence | resectable pancreatic cancer | 2 years |
| OVERALL SURVIVAL (MONTHS) in metastatic lymph node presence | borderline resectable and locally advanced pancreatic cancer | 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| OVERALL SURVIVAL (MONTHS) | para-aortic and mediasitnum metastatic lymph nodes presence | 2 years |
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Inclusion Criteria: pancreatic adenocarcinoma without distant metastasis; patients > 18 years
Exclusion Criteria: distant metastasis and pancreatic adenocarcinoma
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pancreatic adenocarcinoma stage I-II and III with malignant lymph nodes assessed by EUS and elastography
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| IRCCS San Raffaele Hospital | Milan | Italy |
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| ID | Term |
|---|---|
| D008207 | Lymphatic Metastasis |
| ID | Term |
|---|---|
| D009362 | Neoplasm Metastasis |
| D009385 | Neoplastic Processes |
| D009369 | Neoplasms |
| D010335 | Pathologic Processes |
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| D013568 |
| Pathological Conditions, Signs and Symptoms |