Department of Medicine, Section Digestive Diseases, Yale University School of Medicine, New Haven, CT, USA.
Department of Medicine, Section Digestive Diseases, Yale University School of Medicine, New Haven, CT, USA.
Gastrointest Endosc Clin N Am. 2024 Jan;34(1):37-49. doi: 10.1016/j.giec.2023.09.009. Epub 2023 Sep 27.
The authors review the role of endoscopic ultrasound (EUS) in the staging of cancers throughout the gastrointestinal tract. EUS offers an advantage over cross-sectional imaging in locoregional tumor staging but is less sensitive in identifying distant metastasis. The addition of FNA increases diagnostic accuracy and provides a tissue diagnosis. EUS combined with cross-sectional imaging is important in accurately staging GI tumors and thereby reducing unnecessary procedures and health care costs.
作者回顾了内镜超声(EUS)在胃肠道癌症分期中的作用。EUS 在局部肿瘤分期方面优于横断面成像,但在识别远处转移方面的敏感性较低。FNA 的加入提高了诊断准确性,并提供了组织诊断。EUS 结合横断面成像对于准确分期胃肠道肿瘤非常重要,从而减少了不必要的检查和医疗费用。