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内镜超声引导下对胰腺囊性病变进行细针穿刺抽吸

Endoscopic ultrasound-guided fine needle aspiration in cystic pancreatic lesions.

作者信息

Hawes Robert H, Clancy James, Hasan Muhammad K

机构信息

Center for Interventional Endoscopy, Florida Hospital Orlando, Orlando, FL, USA.

出版信息

Clin Endosc. 2012 Jun;45(2):128-31. doi: 10.5946/ce.2012.45.2.128. Epub 2012 Jun 30.

DOI:10.5946/ce.2012.45.2.128
PMID:22866252
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3401615/
Abstract

Incidental pancreatic cysts are being increasingly recognized recently with incremented concern about health and frequent health check-up. Endoscopic ultrasound (EUS) has emerged as the principal modality for imaging pancreas for various pancreatic diseases including pancreatic cyst. But imaging alone cannot accurately identify the exact nature of the pancreatic cyst. EUS-guided fine needle aspiration is a useful adjunctive procedure to differentiate pancreatic cystic lesions. Cystic fluid analysis with cytologic evaluation is important to diagnose etiology of pancreatic cystic lesions, helping the clinician to more accurately assess the presence or potential for malignancy.

摘要

近年来,随着人们对健康的关注度不断提高以及健康检查的频繁进行,偶然发现的胰腺囊肿越来越受到重视。内镜超声(EUS)已成为用于各种胰腺疾病(包括胰腺囊肿)胰腺成像的主要方式。但仅靠成像无法准确识别胰腺囊肿的确切性质。EUS引导下细针穿刺抽吸是鉴别胰腺囊性病变的一种有用的辅助检查。对囊液进行细胞学评估的分析对于诊断胰腺囊性病变的病因很重要,有助于临床医生更准确地评估恶性肿瘤的存在或可能性。

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本文引用的文献

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Targeted cyst wall puncture and aspiration during EUS-FNA increases the diagnostic yield of premalignant and malignant pancreatic cysts.超声内镜引导下细针抽吸活检术(EUS-FNA)时靶向性囊壁穿刺抽吸可提高癌前和恶性胰腺囊肿的诊断率。
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Recurrent GNAS mutations define an unexpected pathway for pancreatic cyst development.GNAS 基因突变的反复出现为胰腺囊肿的发生发展开辟了一条意料之外的途径。
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Interobserver agreement for endosonography in the diagnosis of pancreatic cysts.超声内镜诊断胰腺囊肿的观察者间一致性。
Endoscopy. 2011 Jul;43(7):579-84. doi: 10.1055/s-0030-1256434. Epub 2011 Jun 29.
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Endoscopic ultrasound-guided fine-needle aspiration of pancreatic cystic lesions provides inadequate material for cytology and laboratory analysis: initial results from a prospective study.内镜超声引导下胰腺囊性病变细针抽吸术提供的细胞学和实验室分析材料不足:一项前瞻性研究的初步结果。
Endoscopy. 2011 Jul;43(7):585-90. doi: 10.1055/s-0030-1256440. Epub 2011 May 24.
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Direct intracystic biopsy and pancreatic cystoscopy through a 19-gauge needle EUS (with videos).经 19 号针超声内镜(附有视频)行囊内直接活检和胰腺囊镜检查。
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Endoscopic ultrasonography-guided brushing increases cellular diagnosis of pancreatic cysts: A prospective study.内镜超声引导下刷检提高胰腺囊肿的细胞学诊断:一项前瞻性研究。
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