金凯舟, 罗国培, 黄秋依. The role of endoscopic ultrasound technique in the diagnosis and treatment of pancreatic adenocarcinoma[J]. China Oncology, 2019, 29(1): 52-56.
金凯舟, 罗国培, 黄秋依. The role of endoscopic ultrasound technique in the diagnosis and treatment of pancreatic adenocarcinoma[J]. China Oncology, 2019, 29(1): 52-56. DOI: 10.19401/j.cnki.1007-3639.2019.01.008.
胰腺癌恶性程度极高,其诊断和治疗一直是临床工作的难点。螺旋CT、磁共振成像(magnetic resonance imaging,MRI)和超声内镜(endoscopic ultrasound,EUS)是诊断胰腺癌的重要工具。随着EUS技术的不断完善,其在胰腺癌诊断中的作用和价值逐渐得到体现,特别是EUS引导下细针穿刺(EUS-guided fine needle aspiration,EUS-FNA),是目前获取胰腺病理的重要手段。此外,EUS在胰腺癌治疗中的地位也日益突出,EUS弹性成像(EUS elastography,EUS-EG)及造影增强EUS(contrast-enhanced EUS,CE-EUS)可以指导内科用药,EUS引导下的局部治疗也是胰腺癌综合治疗的重要组成部分。因此,该文回顾和评估了EUS技术在胰腺癌诊断和治疗中的价值,为EUS在胰腺癌中的应用提供参考。
Abstract
With a high degree of malignancy
pancreatic adenocarcinoma is a difficulty in clinical work. Multislice spiral CT
magnetic resonance imaging (MRI) and endoscopic ultrasound (EUS) are important diagnostic methods for pancreatic adenocarcinoma. With the continuous improvement of EUS technology
the value of EUS technique in diagnosis of pancreatic adenocarcinoma is gradually increased
especially EUS-guided fine needle aspiration (EUS-FNA)
an important method for pancreatic biopsy. In addition
EUS also plays a key role in the treatment of pancreatic adenocarcinoma. EUS elastography (EUSEG) and contrast-enhanced EUS (CE-EUS) can guide clinical administration of medication. EUS-guided therapy is also an important component in comprehensive treatment of pancreatic adenocarcinoma. Therefore
we reviewed and evaluated the role of EUS in the diagnosis and treatment of pancreatic adenocarcinoma.