内镜超声在评估胰腺癌手术后局部复发中的作用。
Utility of Endoscopic Ultrasound in Evaluating Local Recurrence After Surgery for Pancreatic Cancer.
机构信息
Department of Gastroenterology, Washington University in Saint Louis, Saint Louis, Missouri.
Department of Medicine, Washington University in Saint Louis, Saint Louis, Missouri; Division of Gastroenterology, University of Colorado, Aurora, Colorado.
出版信息
Clin Gastroenterol Hepatol. 2018 Nov;16(11):1834-1835. doi: 10.1016/j.cgh.2018.02.031. Epub 2018 Mar 2.
Pancreatic adenocarcinoma recurrence after surgery (PARaS) is associated with poor outcomes. PARaS is locoregional in 50%-80%, effecting the resection bed and adjacent lymphatics. Detection of PARaS via endoscopic ultrasound (EUS) is challenging because recurrent malignancy is difficult to distinguish from normal postoperative changes. Diagnosing PARaS is important, because salvage chemotherapy/radiation improves survival. The purpose of this investigation is to determine the clinical utility of EUS fine-needle aspiration (FNA) in patients with suspected PARaS.
胰腺癌手术后复发（PARaS）与不良预后相关。PARaS 局部复发率为 50%-80%，影响切除床和相邻淋巴管。通过内镜超声（EUS）检测 PARaS 具有挑战性，因为复发的恶性肿瘤很难与正常的术后变化区分。诊断 PARaS 很重要，因为挽救性化疗/放疗可提高生存率。本研究旨在确定 EUS 细针抽吸（FNA）在疑似 PARaS 患者中的临床应用价值。
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