[内镜超声对胰腺癌门静脉侵犯的评估]
[The evaluation of portal venous invasion of pancreatic cancer by endoscopic ultrasonography].
作者信息
Kobayashi G, Fujita N, Noda Y, Kimura K, Watanabe H, Ikeda T, Chonan A, Matsunaga A, Ando M, Yuki T
机构信息
Department of Gastroenterology, Sendai City Medical Center.
出版信息
Nihon Shokakibyo Gakkai Zasshi. 1993 Jan;90(1):49-56.
Thirty-six cases of pancreatic cancer including 27 cases of so-called mucin producing cancer of the pancreas, examined with endoscopic ultrasonography (EUS) and treated with surgery, were reviewed to evaluate the usefulness of EUS in the diagnosis of portal venous (PV) invasion. The detection rate of pancreatic tumors cancer by EUS was 92% in 36 cases. The detection rate of PV invasion by EUS was compared with histological results in each case. Judgement of the correlation between the tumor and the PV wall was possible in 30 cases (83%), and the overall accuracy of EUS in the diagnosis of PV invasion was 73%. It is concluded that EUS is a very useful method for diagnosis of PV invasion in cases of pancreatic cancer.
回顾了36例胰腺癌患者（包括27例所谓的胰腺黏液产生癌），这些患者均接受了内镜超声检查（EUS）并接受了手术治疗，以评估EUS在诊断门静脉（PV）侵犯方面的实用性。在36例病例中，EUS对胰腺肿瘤癌的检出率为92%。将EUS对PV侵犯的检出率与每个病例的组织学结果进行了比较。30例（83%）病例能够判断肿瘤与PV壁之间的相关性，EUS诊断PV侵犯的总体准确率为73%。结论是，EUS是诊断胰腺癌病例中PV侵犯的一种非常有用的方法。
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