Cancer of the Pancreas

Joseph G. Fortner, Roberto O. Chiprut, Martin W. Oster, John A. Martin, Robert E. Hermann, Avram M. Cooperman

Research output: Contribution to journalLetterpeer-review

5 Scopus citations


To the Editor: Contrary to Hermann and Cooperman's assertions (issue of August 30), scalpel biopsy of a pancreatic mass is absolutely contraindicated in any patient with a localized, potentially curable lesion. Despite any attempt at isolation of the area before biopsy, cutting into the tumor violates the integrity of tissue barriers, with inevitable spillage of cancer cells into the peritoneal cavity. Carefully performed, transduodenal needle biopsy or, possibly, skinny-needle biopsy are acceptable methods. The commonly used Kocher maneuver for evaluating a mass in the head of the pancreas may also cause problems. With this maneuver, the dissecting finger enters the. . .

Original languageEnglish
Pages (from-to)232-233
Number of pages2
JournalNew England Journal of Medicine
Issue number4
StatePublished - 24 Jan 1980
Externally publishedYes


Dive into the research topics of 'Cancer of the Pancreas'. Together they form a unique fingerprint.

Cite this