Szepes Zoltán, Dobra Mariann, Góg Csaba, Zábrák Edit, Makula Éva, Tiszlavicz László, Kiss Tamás, Molnár Tamás, Nagy Ferenc, Czakó László, Terzin Viktória, Wittmann Tibor
Szegedi Tudományegyetem I. Belgyógyászati Klinika Szeged Korányi fasor 8-10. 6720.
Orv Hetil. 2013 Jan 13;154(2):62-8. doi: 10.1556/OH.2013.29513.
Conventional radiologic imaging (abdominal ultrasound, computer tomography) used in the differential diagnosis of post-hepatic jaundice can frequently provide inaccurate diagnosis. Inflammatory lesions may mimic neoplastic processes and malignancy may be accompanied by perifocal inflammation resulting in histological misdiagnosis. Furthermore, chronic and autoimmune pancreatitis are associated with an increased risk for pancreatic cancer. Radial endosonography has become a markedly important method in the imaging of the pancreas. It has a crucial role in the diagnosis and staging of pancreatic cancer. The authors present three cases where the diagnosis of pancreatic cancer determined by conventional imaging techniques (abdominal ultrasound, computer tomography, endoscopic retrograde cholangiopancreatography) was excluded or confirmed by the radial endosonography. The authors conclude that radial endosonography is an essential complementary method among imaging techniques of the pancreas and in tumor staging. Application of that may prevent unnecessary surgeries, which is obviously useful for patients and cost effective for health care providers.
用于肝后性黄疸鉴别诊断的传统放射学成像（腹部超声、计算机断层扫描）常常会提供不准确的诊断。炎性病变可能会模仿肿瘤性病变，而恶性肿瘤可能伴有灶周炎症，从而导致组织学误诊。此外，慢性胰腺炎和自身免疫性胰腺炎与胰腺癌风险增加相关。径向超声内镜检查已成为胰腺成像中一项显著重要的方法。它在胰腺癌的诊断和分期中起着关键作用。作者呈现了三例病例，其中通过传统成像技术（腹部超声、计算机断层扫描、内镜逆行胰胆管造影）确定的胰腺癌诊断被径向超声内镜检查排除或证实。作者得出结论，径向超声内镜检查是胰腺成像技术及肿瘤分期中必不可少的补充方法。应用该方法可避免不必要的手术，这显然对患者有益，且对医疗服务提供者具有成本效益。
