TO CLINICAL ASPECTS OF PANCREATIC-CARCINO MA AND ITS RECOGNITION

A total of 97 patients with pancreatic carcinoma were examined with so nography, computed tomography of the pancreas and endoscopy of the sto mach and duodenum. The tumor involved mainly the head of the pancreas in 69 (71.1 %), the body in 21 (21.7 %) and the tail in 7 (7.2 %) pati ents. Two basic types of the disease were identified: disseminated in 83 patients and rare in 14 patients. The disseminated type included a central (45 patients) and a peripheral (38 patients) variant. The latt er is classed as peripheral (n=30) and paraduodenal (n=8). The rare ty pes included masked variants (n=6), miniblastomas (n=3), megablastomas (n=2) of the pancreas, as well as thrombotic variants of the disease (n=3). The highest diagnostic value of sonography and computed tomogra phy was observed in intrinsic peripheral variants of carcinoma. Gastro duodenal endoscopy along with biopsy of suspected segments is highly d iagnostic in paraduodenal variants of the disease.