Tio T L
Division of Gastroenterology, Georgetown University Medical Center, Washington, DC, USA.
Gastrointest Endosc Clin N Am. 1995 Jul;5(3):683-91.
Diffuse large gastric folds may lead to difficult clinical diagnosis particularly in biopsy-negative cases. In the differential diagnosis Menetrier's disease or hypertrophic gastritis and linitis, EUS is very helpful because of its ability in imaging the location of mural abnormality. In initially negative biopsy for linitis, EUS can help the clinician in selecting the optimal site for positive biopsy. In gastric NHL, EUS can be helpful in selecting the appropriate candidate for surgery and in monitoring the response to chemotherapy and irradiation. EUS appears to be more suitable for TNM staging than the Ann Arbor classification for gastric NHL. The routine use of EUS-guided FNA should be attempted for obtaining the tissue diagnosis.
弥漫性胃大皱襞可能导致临床诊断困难，尤其是在活检阴性的病例中。在鉴别诊断梅内特里尔病、肥厚性胃炎和皮革胃时，超声内镜（EUS）非常有用，因为它能够对壁层异常的位置进行成像。对于最初活检为阴性的皮革胃，EUS可帮助临床医生选择活检阳性的最佳部位。在胃非霍奇金淋巴瘤（NHL）中，EUS有助于选择合适的手术候选者，并监测化疗和放疗的反应。对于胃NHL，EUS似乎比安阿伯分类更适合TNM分期。应尝试常规使用EUS引导下细针穿刺抽吸术以获得组织诊断。
