Lange Andrew, Muniraj Thiruvengadam, Aslanian Harry R
Department of Internal Medicine, Yale University School of Medicine, Yale Primary Care Center, 789 Howard Avenue, New Haven, CT 06511, USA.
Section of Digestive Diseases, Laboratory for Medicine and Pediatrics, Yale University School of Medicine, 15 York Street, New Haven, CT 06510, USA.
Gastrointest Endosc Clin N Am. 2019 Apr;29(2):339-350. doi: 10.1016/j.giec.2018.12.005.
Endoscopic ultrasound examination may provide complementary information to cross-sectional imaging in lesions of the liver, portal vein, and surrounding lymph nodes. With fine needle aspiration, endoscopic ultrasound examination is a powerful tool for the diagnosis of focal liver lesions and has usefulness in the evaluation of indeterminate liver lesions. Endoscopic ultrasound examination may influence hepatocellular cancer staging and Endoscopic ultrasound examination with fine needle aspiration of locoregional nodes and portal vein thromboses changes management. Contrast-enhanced endoscopic ultrasound examination and endoscopic ultrasound examination elastography are likely to expand the usefulness of endoscopic ultrasound examination in evaluating liver malignancy with technologic improvements.
内镜超声检查可为肝脏、门静脉及周围淋巴结病变的横断面成像提供补充信息。通过细针穿刺，内镜超声检查是诊断肝脏局灶性病变的有力工具，对评估不确定的肝脏病变也很有用。内镜超声检查可能会影响肝细胞癌的分期，对局部区域淋巴结和门静脉血栓形成进行细针穿刺的内镜超声检查会改变治疗方案。随着技术进步，对比增强内镜超声检查和内镜超声弹性成像可能会扩大内镜超声检查在评估肝脏恶性肿瘤方面的用途。
