Goldman M L, Naib Z M, Galambos J T, Rudé J C, Oen K T, Bradley E L, Salam A, Gonzalez A C
Am J Dig Dis. 1977 Dec;22(12):1076-82. doi: 10.1007/BF01072861.
Carcinoma of the pancreas and chronic pancreatitis may be extremely difficult to differentiate by standard diagnostic methods preoperatively as well as at the operating table. Operative pancreatic biopsy may have a high morbidity, rare mortality, and can be misleading. Percutaneous aspiration biopsy may be of great potential benefit. It provides additional histological material not usually available, and an accurate diagnosis of malignancy can be made. In select patients a needless laparotomy may be avoided. It appears to be a safe procedure that should be considered in the evaluation of the patient with suspected pancreatic malignancy in which a mass lesion is demonstrated by ultrasonography, computerized tomography, angiography, or retrograde pancreatography.
胰腺癌和慢性胰腺炎在术前以及手术台上通过标准诊断方法可能极难区分。手术胰腺活检可能具有高发病率、罕见死亡率，且可能产生误导。经皮穿刺活检可能有很大的潜在益处。它能提供通常无法获得的额外组织学材料，并且可以对恶性肿瘤做出准确诊断。在特定患者中可避免不必要的剖腹手术。这似乎是一种安全的操作，对于超声、计算机断层扫描、血管造影或逆行胰胆管造影显示有肿块病变的疑似胰腺恶性肿瘤患者，在评估时应考虑采用。
