Discussion

Harry--Multiple trials of EUS imaging increases sensitivity, not necessarily specificity. How are these results confirmed however? Elizabeth- Cytokeratin 18 as a biological marker, Experiment results show different ages that would be most affected Women between 30 and 90 are most likely to be diagnosed with pancreatic cancer If the CT shows pancreatic fullness then perform an EUS, if there is no mass then stop. If a mass is detected, then continue to test with FNA. EUS can detect a mass that is as small and 2 cm. How early do masses form in pancreatic cancer? Taylor- Based on results, EUS has higher sensitivity than EUS paired with FNA spyglass--one operator, EUS and FNA has at least two operators two different trial for spyglass: visual test and biopsy Visual test: specificity= 77% Sensitivity- 100% Biopsy specificity= 100% Sensitivity- 71% Daniel= differences between pancreatitis and pancreatic cancer: test included 81 people that had some sort of malignant tumor. test using methods: Ca 19-9 ultrasound, computed tomography, fine needle biopsy. Best method; FNA because of the fact that 100% of the sample had some sort of tumor. Shelby=Demographics: Worse overall survival for blacks, this may be because resection rates are lower in blacks. Also after resection rates, black median survival improved from 4 months to 11 months whereas median survival improved from 4 months to 13 months. Lauren=If you have two first degree relatives, then risk i brca breast cancer increases risk by 5.9% smoking cigarrettes with family history increases risk by

When making recommendations, efficiency works over practicality.