Soria M T, Ginès A, Miquel R, Pellisé M, Fernández-Esparrach G, Campo E, Llach J, Bordas J M
Endoscopy Unit, Institut de Malalties Digestives, Hospital Clinic, University of Barcelona, Barcelona, Spain.
Endoscopy. 2003 Apr;35(4):360-2. doi: 10.1055/s-2003-38139.
Although computed tomography and endoscopic ultrasound (EUS) are well-established procedures used to evaluate pancreatic masses, it is well known that imaging techniques alone cannot be used to distinguish between adenocarcinoma and tumors of less common cellular origin, such as primary pancreatic lymphoma. Clinicians must always consider this kind of malignancy in their differential diagnosis since, although rare, its treatment is nonsurgical and it has a better prognosis than adenocarcinoma. Histological examination of focal masses in the pancreas is therefore mandatory in order to establish the best therapeutic approach for every patient. Endoscopic ultrasound has developed as a very useful tool for the diagnosis of pancreatic tumors but could also be considered as a very useful method in the follow-up of these patients after treatment.
虽然计算机断层扫描和内镜超声（EUS）是用于评估胰腺肿块的成熟方法，但众所周知，仅靠成像技术无法区分腺癌和细胞起源较罕见的肿瘤，如原发性胰腺淋巴瘤。临床医生在鉴别诊断时必须始终考虑到这类恶性肿瘤，因为尽管罕见，但其治疗方法是非手术的，且预后比腺癌好。因此，为了为每位患者确定最佳治疗方法，对胰腺局灶性肿块进行组织学检查是必不可少的。内镜超声已发展成为诊断胰腺肿瘤的非常有用的工具，但也可被视为这些患者治疗后随访的非常有用的方法。
