Al-Najami Issam, Ainsworth Alan Patrick
Kirurgisk Afdeling, Odense Universitetshospital, Søndre Boulevard 29, 5000 Odense C, Denmark.
Dan Med J. 2015 Mar;62(3).
Incidental findings are often seen at computed tomographies (CT). This study describes patients who had an endoscopic ultrasonography (EUS) because of an incidental finding in the pancreas/bile duct.
Patients referred for EUS between September 2012 and September 2013 because of an incidental finding in the pancreas/bile duct at a CT were prospectively enrolled. After EUS, the findings of this procedure were noted together with the plan for further diagnostic work-up or therapy. A follow-up was made after 6 months and 1 year after EUS was performed.
A total of 47 patients (24 women, 23 men) were registered with an incidental finding. The median age was 69 years (range: 45-83 years). Diagnoses after performing EUS were: normal findings (n = 16), cystic lesion (n = 16), mass lesion (n = 6), inconclusive (n = 6) and other specified (n = 3). The plan after EUS was: no further evaluation (n = 27), referred for new EUS or other imaging procedures (n = 14) and referred for surgery/endoscopic retrograde cholangiopancreatography (n = 6). In total, 6 patients proved to have neoplastic diseases in the pancreas. None of the patients who were stopped from further evaluation following EUS later proved to have a malignant disease in the pancreas.
EUS is a valuable diagnostic tool in patients with incidental findings in the pancreas/bile duct noted at a CT. Many patients can be stopped from further diagnostic work-up after EUS with a minimal risk of overlooking a malignant disease.
not relevant.
The study was approved by the Danish Data Protection Agency via Region of Southern Denmark (case no. 13/27,321).
计算机断层扫描（CT）检查时经常会发现一些意外发现。本研究描述了因胰腺/胆管意外发现而接受内镜超声检查（EUS）的患者。
前瞻性纳入2012年9月至2013年9月期间因CT检查发现胰腺/胆管意外情况而转诊接受EUS检查的患者。EUS检查后，记录该检查结果以及进一步诊断检查或治疗计划。在EUS检查后6个月和1年进行随访。
共有47例患者（24例女性，23例男性）被登记有意外发现。中位年龄为69岁（范围：45 - 83岁）。EUS检查后的诊断结果为：正常发现（n = 16）、囊性病变（n = 16）、实性病变（n = 6）、不确定（n = 6）和其他特定情况（n = 3）。EUS检查后的计划为：无需进一步评估（n = 27）、转诊接受新的EUS检查或其他影像学检查（n = 14）以及转诊接受手术/内镜逆行胰胆管造影（n = 6）。总共有6例患者被证实胰腺患有肿瘤性疾病。EUS检查后停止进一步评估的患者中，后来均未被证实患有胰腺恶性疾病。
EUS是对CT检查发现胰腺/胆管意外情况的患者进行诊断的有价值工具。许多患者在EUS检查后可停止进一步诊断检查，而忽略恶性疾病的风险极小。
不相关。
本研究经丹麦数据保护局通过南丹麦地区批准（病例编号13/27,321）。
