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胰腺囊性病变:内镜超声形态学及内镜超声细针穿刺如何助力解开诊断谜团。

Pancreatic cystic lesions: How endoscopic ultrasound morphology and endoscopic ultrasound fine needle aspiration help unlock the diagnostic puzzle.

作者信息

Barresi Luca, Tarantino Ilaria, Granata Antonino, Curcio Gabriele, Traina Mario

机构信息

Luca Barresi, Ilaria Tarantino, Antonino Granata, Gabriele Curcio, Mario Traina, Unit of Gastroenterology and Digestive Endoscopy, Mediterranean Institute for Transplantation and Advanced Specialized Therapies, 90146 Palermo, Italy.

出版信息

World J Gastrointest Endosc. 2012 Jun 16;4(6):247-59. doi: 10.4253/wjge.v4.i6.247.

Abstract

Cystic lesions of the pancreas are being diagnosed with increasing frequency, covering a vast spectrum from benign to malignant and invasive lesions. Numerous investigations can be done to discriminate between benign and non-evolutive lesions from those that require surgery. At the moment, there is no single test that will allow a correct diagnosis in all cases. Endoscopic ultrasound (EUS) morphology, cyst fluid analysis and cytohistology with EUS-guided fine needle aspiration can aid in this difficult diagnosis.

摘要

胰腺囊性病变的诊断频率日益增加,涵盖了从良性到恶性及侵袭性病变的广泛范围。可以进行多项检查以区分良性和非进展性病变与那些需要手术治疗的病变。目前,没有单一的检查能在所有病例中做出正确诊断。内镜超声(EUS)形态学、囊液分析以及EUS引导下细针穿刺的细胞组织学检查有助于这一困难的诊断。

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本文引用的文献

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Pancreatic cystic neoplasms: diagnosis and management.胰腺囊性肿瘤:诊断与治疗。
Gastroenterol Clin North Am. 2012 Mar;41(1):103-18. doi: 10.1016/j.gtc.2011.12.016. Epub 2012 Jan 20.
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Pancreatic tumors: emphasis on CT findings and pathologic classification.胰腺肿瘤:重点介绍 CT 表现和病理分类。
Korean J Radiol. 2011 Nov-Dec;12(6):731-9. doi: 10.3348/kjr.2011.12.6.731. Epub 2011 Sep 27.
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Cystic precursors to invasive pancreatic cancer.侵袭性胰腺癌的囊前体。
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