长期存在的不明原因胆管狭窄，多次组织取样结果均为阴性，经SpyGlassTM胆管镜检查确诊为胆管癌。
Long-standing indeterminate biliary stricture with iterative negative tissue sampling revealed as cholangiocarcinoma under SpyGlassTM cholangiocoscopy.
作者信息
Figueroa Marrero Andrés, Chavarría-Herbozo Carlos M, de la Serna Higuera Carlos, Pérez-Miranda Manuel
机构信息
Aparato Digestivo, Hospital Universitario de Gran Canaria Dr. Negrín, España.
Aparato Digestivo, Hospital de La Princesa, España.
出版信息
Rev Esp Enferm Dig. 2017 Mar;109(3):220-221.
PMID:28256149
Abstract
Bile duct brush cytology, intraductal biopsy and EUS-FNA are all used to characterize biliary strictures, with suboptimal sensitivity. Surgical resection without confirmed malignancy is undesirable. Cholangioscopy with targeted biopsies appears to increase the diagnostic yield in indeterminate biliary strictures, but it is still considered optional.
摘要
胆管刷检细胞学、导管内活检和超声内镜引导下细针穿刺抽吸活检均用于对胆管狭窄进行特征性诊断，但敏感性欠佳。在未确诊恶性肿瘤的情况下进行手术切除是不可取的。带有靶向活检的胆管镜检查似乎能提高不确定胆管狭窄的诊断率，但它仍被视为可选项。
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