Genevay Muriel, Dumonceau Jean Marc, Berney Thierry, Terraz Sylvain, Felley Christian, Morel Philippe, Frossard Jean Louis
Division of Clinical Pathology, Geneva University Hospitals, Geneva, Switzerland.
Case Rep Gastroenterol. 2009 Nov 21;3(3):389-394. doi: 10.1159/000255401.
This paper aims at emphasizing the difficulty in assessing preoperatively the diagnosis of solid masses of the pancreas whatever the initial clinical presentation may be. We illustrate our purpose describing consecutive cases of pancreatic masses of the pancreas we recently had and who were followed according to the internal guidelines of investigation of our referral hospital. Whereas malignant tumors of the pancreas represent the vast majority of solid tumors of the pancreas, other diagnoses must be evoked. We report three cases of pancreatic solid masses that were explored by endoscopic ultrasonography coupled with fine needle aspiration, a method universally considered to be both reliable and accurate but which failed to assess definitive diagnosis due to both cytological pitfalls and sampling error.
本文旨在强调无论初始临床表现如何，术前评估胰腺实性肿块的诊断都存在困难。我们通过描述近期遇到的一系列胰腺肿块病例来说明这一目的，这些病例均按照我们转诊医院的内部检查指南进行了跟踪。虽然胰腺恶性肿瘤占胰腺实性肿瘤的绝大多数，但必须考虑其他诊断。我们报告了3例胰腺实性肿块病例，这些病例均接受了内镜超声检查并结合细针穿刺抽吸，这一方法被普遍认为既可靠又准确，但由于细胞学陷阱和采样误差，未能得出明确诊断。
