内镜超声引导下组织获取用于自身免疫性胰腺炎的组织病理学诊断。
Endoscopic ultrasound-guided tissue acquisition for the histopathological diagnosis of autoimmune pancreatitis.
机构信息
Division of Gastroenterology, Department of Medicine, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke, Tochigi, 329-0498, Japan.
Department of Pathology, Jichi Medical University, Shimotsuke, Japan.
出版信息
J Med Ultrason (2001). 2021 Oct;48(4):555-563. doi: 10.1007/s10396-021-01144-9. Epub 2021 Oct 20.
Autoimmune pancreatitis (AIP) is a disease concept that originated in Japan. It is characterized by diffuse pancreatic enlargement and irregular narrowing of the main pancreatic duct. Although the usefulness of the histological diagnosis of AIP using endoscopic ultrasound (EUS)-guided fine-needle aspiration (FNA) and EUS-guided fine-needle biopsy (FNB) has been reported, enhanced diagnostic performance is expected with improvements in tissue collection methods and fine-needle techniques. Guidance for establishing the tissue diagnosis of AIP has been developed and is useful for histological evaluation. Histopathological diagnosis by EUS-FNA/FNB is expected to play a central role in AIP diagnosis in the future.
自身免疫性胰腺炎（AIP）是一个源于日本的疾病概念。其特征为弥漫性胰管扩张和主胰管不规则狭窄。虽然已经报道了使用超声内镜（EUS）引导下细针抽吸（FNA）和 EUS 引导下细针活检（FNB）进行 AIP 组织学诊断的有用性，但通过改进组织采集方法和细针技术，有望提高诊断性能。已经制定了用于建立 AIP 组织诊断的指南，并且对组织学评估有用。EUS-FNA/FNB 的组织学诊断有望在未来在 AIP 诊断中发挥核心作用。
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