Arya Naveen, Wyse Jonathan M, Jayaraman Shiva, Ball Chad G, Lam Eric, Paquin Sarto C, Lightfoot Peter, Sahai Anand V
Oakville-Trafalgar Memorial Hospital, Oakville, Ontario, Canada.
Jewish General Hospital, Montreal, Quebec, Canada.
Endosc Ultrasound. 2020 May-Jun;9(3):154-161. doi: 10.4103/eus.eus_28_20.
Numerous clinical pathways exist for patients presenting with a suspicious pancreatic mass. These range from direct surgical intervention following staging, with preoperative cross-sectional imaging, EUS with or without fine-needle aspiration or fine-needle core biopsy; neoadjuvant chemotherapy and/or radiation therapy; or palliation. Although international guidelines exist for pancreas cancer management, the ideal workup and treatment for a suspicious pancreas mass is unclear. During its annual meeting in September 2017 (The Forum for Canadian Endoscopic Ultrasonography), the Canadian Society of Endoscopic Ultrasound organized a working group of experienced endosonographers and hepatobiliary surgeons from across Canada to achieve this goal.
对于出现可疑胰腺肿块的患者，有许多临床路径可供选择。这些路径包括在进行分期检查后直接进行手术干预，术前进行横断面成像、内镜超声检查（EUS）并可选择进行或不进行细针穿刺抽吸或细针芯活检；新辅助化疗和/或放疗；或姑息治疗。尽管存在胰腺癌管理的国际指南，但对于可疑胰腺肿块的理想检查和治疗方法仍不明确。在2017年9月的年度会议（加拿大内镜超声论坛）上，加拿大内镜超声学会组织了一个由来自加拿大各地经验丰富的内镜超声医师和肝胆外科医生组成的工作组来实现这一目标。
