Solodinina E N, Starkov Yu G, Kurushkina N A, Egorov V I
Eksp Klin Gastroenterol. 2014(9):56-60.
The publication presents the results of the examination and treatment of 82 patients with pancreatic adenocarcinoma. The main objective of the work is the evaluation of endosonography diagnostic significance in identifying tumor vascular invasion and determining resectability of the tumor. The paper describes an EUS methodology, type of echoendoscopes and ultrasound criteria for tumor invasion to the blood vessels. Vessel invasion during endosonography was suspected in 48 (58.5%) cases, according to surgery data, tumor invasion into upper abdomen vessels was detected in 51 patients (62.2%). Sensitivity of endosonography in detecting vessel invasion was 90.2%, specificity--93.5%, accuracy--91.5%. Endosonography being in trend of present day ideas about the criteria of pancreatic cancer resectability is the leading method in the selection of patients to surgery.
该出版物展示了82例胰腺腺癌患者的检查和治疗结果。这项工作的主要目的是评估内镜超声在识别肿瘤血管侵犯和确定肿瘤可切除性方面的诊断意义。本文描述了一种内镜超声方法、超声内镜类型以及肿瘤侵犯血管的超声标准。根据手术数据，内镜超声检查怀疑有48例（58.5%）发生血管侵犯，51例患者（62.2%）检测到肿瘤侵犯上腹部血管。内镜超声检测血管侵犯的敏感性为90.2%，特异性为93.5%，准确性为91.5%。内镜超声符合当今关于胰腺癌可切除性标准的理念，是选择手术患者的主要方法。
