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Patients with pancreatic cancer who undergo surgery are often found to have metastatic lesions soon after resection, suggesting that the metastases were present before surgery but went undetected. Thus, better tools and techniques to detect metastases in these patients are needed. A recent study compared the ability of contrast-enhanced computed tomography (CT) scans, standard B-mode endoscopic ultrasound (EUS), and contrast-enhanced harmonic EUS to detect liver metastases in these patients.
The authors retrospectively evaluated 426 patients with pancreatic cancer who underwent evaluation by all three techniques. Only the left lobe of the liver was evaluated. Liver metastases were present in 27% of patients. The sensitivity, specificity, and…