超声引导下对累及腹段食管的癌进行细针穿刺抽吸细胞学检查。

Ultrasound-guided fine needle aspiration cytology of carcinoma involving the intra-abdominal oesophagus.

作者信息

Das K M, Kochhar R, Gupta N M, Rajwanshi A, Suri S

机构信息

Department of Radiodiagnosis, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

出版信息

Clin Radiol. 1992 Mar;45(3):185-6. doi: 10.1016/s0009-9260(05)80638-5.

DOI:10.1016/s0009-9260(05)80638-5

PMID:1555371

Abstract

Ultrasound-guided fine needle aspiration cytology (FNAC) of carcinoma of the intra-abdominal oesophagus was attempted on 21 patients with a 21 G spinal needle using a percutaneous anterior epigastric approach. The results were compared with those of endoscopic biopsy and brush cytology. The ultrasound-guided FNAC had a positive yield in 20/21 (95.2%) compared with 18/21 (85.7%) for endoscopic biopsy and 18/21 (85.7%) for brush cytology (P greater than 0.59). The combination of US-guided FNAC with endoscopic biopsy and the brush cytology achieved a positive yield in 21/21 (100%) whereas combining endoscopic biopsy and brush cytology produced a positive yield of 19/21 (90.5%). Two patients developed temporary epigastric pain. We recommend US-guided FNAC as a safe and effective technique that can be used alone or as an adjunct to endoscopic procedures for the diagnosis of carcinoma of the intra-abdominal oesophagus.

摘要

采用经皮上腹部前路入路，使用21G脊椎穿刺针，对21例腹段食管癌患者尝试进行超声引导下细针穿刺抽吸细胞学检查（FNAC）。将结果与内镜活检及刷检细胞学检查结果进行比较。超声引导下FNAC的阳性率为20/21（95.2%），内镜活检为18/21（85.7%），刷检细胞学检查为18/21（85.7%）（P>0.59）。超声引导下FNAC联合内镜活检及刷检细胞学检查的阳性率为21/21（100%），而内镜活检联合刷检细胞学检查的阳性率为19/21（90.5%）。两名患者出现暂时性上腹部疼痛。我们推荐超声引导下FNAC作为一种安全有效的技术，可单独使用或作为内镜检查的辅助手段用于腹段食管癌的诊断。