Jinga Mariana, Gheorghe Cristian, Dumitrescu Marius, Gheorghe Liana, Nicolaie Tudor
2nd Internal Medicine Clinic, "Carol Davila" Military Emergency Clinical Hospital, Bucharest, Romania.
Rom J Gastroenterol. 2004 Mar;13(1):49-54.
Endoscopic ultrasound (EUS) represents a highly sensitive method for the detection of pancreatic masses. When available, EUS-guided fine needle aspiration (FNA) is the best technique for the diagnosis and staging of pancreatic cancer due to its ability to obtain tissue for diagnosis. The standardized indications for pancreatic EUS-FNA comprise the definite diagnosis of malignancy and histopathological confirmation of adenocarcinoma before surgical resection, chemo/radiotherapy, or celiac plexus neurolysis. The technique of performing EUS-FNA is described in detail, from the vizualization of the target lesion and adequate placement of the transducer to allow optimal needle access, to needle penetration and sampling of the targeted lesion. We report a series of 9 patients who underwent EUS-FNA and shortly review the indications, technique, results and impact of EUS-FNA on the management of these patients.
内镜超声（EUS）是检测胰腺肿块的一种高度敏感的方法。若条件允许，超声内镜引导下细针穿刺抽吸活检（FNA）是诊断和分期胰腺癌的最佳技术，因为它能够获取组织用于诊断。胰腺EUS-FNA的标准化适应证包括在手术切除、化疗/放疗或腹腔神经丛松解术前明确恶性肿瘤的诊断以及腺癌的组织病理学确认。详细描述了进行EUS-FNA的技术，从目标病变的可视化和换能器的适当放置以实现最佳针道进入，到针穿刺和对目标病变的采样。我们报告了一组9例接受EUS-FNA的患者，并简要回顾了EUS-FNA的适应证、技术、结果及其对这些患者治疗的影响。
