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内镜逆行胰胆管造影术引导下经皮细针胰腺活检

ERCP-guided percutaneous fine-needle pancreatic biopsy.

作者信息

Freeny P C, Kidd R, Ball T J

出版信息

West J Med. 1980 Apr;132(4):283-7.

PMID:7385832
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1272063/
Abstract

In patients with a radiologic diagnosis of unresectable pancreatic carcinoma, exploratory laparotomy for tissue diagnosis is no longer required. Histologic confirmation of the diagnosis may be obtained safely and accurately with percutaneous fine-needle aspiration biopsy. Endoscopic retrograde cholangiopancreatography (ERCP) precisely localized the biopsy site for cytologic diagnosis of adenocarcinoma in 13 of 14 patients (93 percent) with pancreatic carcinoma.

摘要

对于经影像学诊断为不可切除胰腺癌的患者，不再需要进行剖腹探查以获取组织诊断。通过经皮细针穿刺活检可安全、准确地获得诊断的组织学确认。在14例胰腺癌患者中，13例（93%）通过内镜逆行胰胆管造影术（ERCP）精确地定位了腺癌的活检部位以进行细胞学诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d0e/1272063/dfa743d4d39e/westjmed00236-0010-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d0e/1272063/dfdd0baa09b4/westjmed00236-0008-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d0e/1272063/e5dd9f9fbf55/westjmed00236-0008-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d0e/1272063/bc6233846797/westjmed00236-0008-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d0e/1272063/dfa743d4d39e/westjmed00236-0010-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d0e/1272063/dfdd0baa09b4/westjmed00236-0008-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d0e/1272063/e5dd9f9fbf55/westjmed00236-0008-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d0e/1272063/bc6233846797/westjmed00236-0008-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d0e/1272063/dfa743d4d39e/westjmed00236-0010-a.jpg

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本文引用的文献

1
The fallibility of pancreatic biopsy.胰腺活检的易错性。
Ann Surg. 1954 Apr;139(4):403-8. doi: 10.1097/00000658-195404000-00003.
2
Selective arteriography in cancer of the pancreas at a resectable stage.可切除阶段胰腺癌的选择性动脉造影
Am J Surg. 1971 Sep;122(3):402-7. doi: 10.1016/0002-9610(71)90268-6.
3
Survival of patients with cancer of the pancreas in relation to findings on arteriography.胰腺癌患者的生存情况与动脉造影检查结果的关系
Ann Surg. 1972 Jul;176(1):37-41. doi: 10.1097/00000658-197207000-00008.
4
Angiographic evaluation of pancreatic disease. A further appraisal.
Radiology. 1974 Aug;112(2):275-82. doi: 10.1148/112.2.275.
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Resectability and prognosis of carcinoma of the pancreas evaluated by angiography.通过血管造影术评估胰腺癌的可切除性和预后。
Scand J Gastroenterol. 1973;8(8):691-7.
6
Percutaneous biopsy of carcinoma of the pancreas guided by angiography.血管造影引导下经皮胰腺活检术。
Surg Gynecol Obstet. 1976 May;142(5):737-9.
7
"Blind" evaluation of endoscopic retrograde cholangiopancreatography (ERCP) in the diagnosis of pancreatic carcinoma: the "double duct" and other signs.
Radiology. 1976 May;119(2):271-4. doi: 10.1148/119.2.271.
8
Ultrasonically guided percutaneous fine needle biopsy of the pancreas.超声引导下经皮胰腺细针穿刺活检
Surg Gynecol Obstet. 1975 Mar;140(3):361-4.
9
Percutaneous aspiration biopsy of the pancreas under ultrasonic guidance.超声引导下经皮胰腺穿刺抽吸活检
N Engl J Med. 1975 Apr 17;292(16):825-8. doi: 10.1056/NEJM197504172921603.
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Preoperative diagnosis of pancreatic carcinoma by percutaneous aspiration biopsy.经皮穿刺抽吸活检对胰腺癌的术前诊断
Am J Dig Dis. 1977 Dec;22(12):1076-82. doi: 10.1007/BF01072861.