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囊肿液的二代测序能否改善胰腺囊性肿瘤的管理?

Does next-generation sequencing of cyst fluid improve management of pancreatic cystic neoplasms?

作者信息

Aronsson Linus, Andersson Roland, Swahn Fredrik, Ansari Daniel

机构信息

a Department of Clinical Sciences Lund , Lund University, Skane University Hospital , Lund , Sweden Surgery.

出版信息

Scand J Gastroenterol. 2017 Oct;52(10):1049-1051. doi: 10.1080/00365521.2017.1349175. Epub 2017 Jul 5.

DOI:10.1080/00365521.2017.1349175
PMID:28678564
Abstract

Pancreatic cystic lesions represent a heterogeneous group of diseases ranging from benign to malignant lesions. They are increasingly being detected due to the widespread use of cross-sectional imaging. Their management is a challenge because it is often not possible to reliably discriminate between malignant and nonmalignant lesions using current imaging technology. Next-generation sequencing (NGS) has the ability of both whole genome and targeted sequencing at a low cost and from a limited amount of DNA. NGS of cyst fluid aspired by endoscopic ultrasonography-guided fine-needle aspiration provides a valuable tool in biomarker research and may in the future help improve diagnosis and management of pancreatic cystic lesions.

摘要

胰腺囊性病变是一组异质性疾病,范围从良性病变到恶性病变。由于横断面成像的广泛应用,它们越来越多地被检测出来。其管理是一项挑战,因为使用当前的成像技术往往无法可靠地区分恶性和非恶性病变。新一代测序(NGS)能够以低成本对有限量的DNA进行全基因组和靶向测序。通过内镜超声引导下细针穿刺抽吸的囊液进行NGS,为生物标志物研究提供了一种有价值的工具,未来可能有助于改善胰腺囊性病变的诊断和管理。

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