Palazzo L
Department of Gastro-enterology, University of Paris VII, Beaujon Hospital, Clichy, France.
Ann Oncol. 1999;10 Suppl 4:25-7.
The promotion and development of endoscopic ultrasonography (EUS) should be pursued and accelerated in specialist centres involved in the management of bilio-pancreatic diseases. In trained hands, and for resectable patients, EUS is the gold standard of the imaging of tumours of the pancreas and extra-hepatic bile ducts, either for diagnostic purposes or loco-regional extension assessment. Thus, it complements ultrasonography, spiral CT or MRI but comes before ERCP which should be avoided as far as possible in resectable patients. The possibility of obtaining histology without risk of seeding with a diagnostic accuracy greater than 90% both for tumours and nodes, constitutes a significant advance in the management of pancreatic tumours.
在参与胆胰疾病管理的专科中心，应推动和加速内镜超声检查（EUS）的推广与发展。对于技术熟练的操作者以及可切除的患者，无论是用于诊断目的还是局部区域扩展评估，EUS都是胰腺和肝外胆管肿瘤成像的金标准。因此，它是超声检查、螺旋CT或MRI的补充，但优于ERCP，对于可切除的患者应尽可能避免使用ERCP。在不发生种植转移风险的情况下获取组织学检查结果，对肿瘤和淋巴结的诊断准确率均超过90%，这在胰腺肿瘤的管理方面是一项重大进展。
