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What is Most sentitive investigation of pancreatic carcinoma is and explain in detail?
Ans. is 'b' i.e., ERCP ERCP is the most sensitive test for detecting pancreatic cancer but CT scan is the inv. of choice. Schwaz writes - "Currently CT is probably the single most versatile and cost effective tool for the diagnosis of pancreatic cancer." CSDT writes - "In patients with a typical clinical history and a pancreatic mass on CT, ERCP is unnecessary. In the absence of a mass, an ERCP is indicated. It is the most sensitive test (95%) for detecting pancreatic cancer though specificity in differentiation between cancer and pancreatitis is low."