Chang K J, Albers C G, Erickson R A, Butler J A, Wuerker R B, Lin F
Department of Veterans Affairs Medical Center, Long Beach, California.
Am J Gastroenterol. 1994 Feb;89(2):263-6.
Endoscopic ultrasound (EUS) is reported to be the single best modality for visualizing small pancreatic carcinomas. Whereas tissue diagnosis by fine needle aspiration (FNA) can be performed with computed tomography (CT) or transabdominal ultrasound guidance, the diagnostic accuracy is limited by the ability of these modalities to visualize the lesion. Real time EUS-guided fine needle aspiration has recently been reported as a new diagnostic modality. The application of EUS-guided FNA in the diagnosis of small pancreatic carcinoma has not been reported. We present a case in which transduodenal EUS-guided FNA was successful in establishing a definitive tissue diagnosis of pancreatic carcinoma in a 1.6-cm lesion in the head of the pancreas. This case along with a review of the literature highlights the great potential of this new modality in the diagnosis of pancreatic carcinoma.
据报道，内镜超声（EUS）是可视化小胰腺癌的最佳单一方式。虽然细针穿刺抽吸（FNA）进行组织诊断可在计算机断层扫描（CT）或经腹超声引导下进行，但这些方式可视化病变的能力限制了诊断准确性。实时EUS引导下细针穿刺抽吸最近已作为一种新的诊断方式被报道。EUS引导下FNA在小胰腺癌诊断中的应用尚未见报道。我们报告一例，经十二指肠EUS引导下FNA成功对胰腺头部一个1.6厘米病变确诊为胰腺癌。该病例及文献回顾突出了这种新方式在胰腺癌诊断中的巨大潜力。
