Fine needle aspiration of the liver and pancreas with ultrasound guidance.
Fine needle aspiration of the liver and pancreas with ultrasound guidance.
复制标题
在超声引导下细针抽吸肝脏和胰腺。
作者：
C. Bognel;P. Rougier;J. Leclère;P. Duvillard;P. Charpentier;M. Prade
本文报告Gustave-Roussy学会细针抽吸(FNA)诊断肝脏和胰腺病变的经验。对于超声怀疑为肿瘤性病变的患者，总共进行了116次经皮超声引导下肝脏和27例胰腺的FNAs检查，没有出现并发症。12例资料不适合诊断。肝脏方面，经随访确诊97例。免疫组织化学检查有助于区分原发性肝肿瘤和其他恶性肿瘤。报告了一个假阳性结果。胰腺恶性病变17例。15例仅细胞学检查即可作出正确的肿瘤诊断：10例为原发癌，2例为内分泌肿瘤，3例为转移瘤。本研究中FNA对肝脏的敏感性为87.6%，对胰腺的敏感性为85%，与其他文献报道的结果相似。
The experience of the Institut Gustave-Roussy in the diagnosis of hepatic and pancreatic lesions by fine needle aspiration (FNA) is reported. Totals of 116 consecutive percutaneous ultrasound-guided FNAs of the liver and 27 of the pancreas were performed without complication in patients with ultrasonically suspected neoplastic lesions. In 12 cases, the material was not suitable for diagnosis. In the liver, 97 cases were correctly diagnosed and confirmed by follow-up. Immunohistologic studies were helpful in distinguishing primary liver tumors from other malignancies. One false-positive result was reported. In the pancreas, malignancy was detected in 17 cases. Cytology alone provided the correct tumor diagnosis in 15 cases: 10 primary carcinomas, 2 endocrine tumors and 3 metastases. The sensitivities of FNA in this study were 87.6% for the liver and 85% for the pancreas, similar to those reported in other series.