Endoscopic ultrasound-guided pancreatic sampling for the histopathological diagnosis of autoimmune pancreatitis.
Endoscopic ultrasound-guided pancreatic sampling for the histopathological diagnosis of autoimmune pancreatitis.
复制标题
内镜超声引导下胰腺取样用于自身免疫性胰腺炎的组织病理学诊断。
DOI：
10.1111/den.14076
复制
发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Yamamoto H.
中科院分区：
文献类型：
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作者：
Kanno A;Miwata T;Nagai H;Ikeda E;Ando K;Kawasaki Y;Tada Y;Yokoyama K;Tamada K;Fukushima N;Kawarai Lefor A;Yamamoto H.
自身免疫性胰腺炎（AIP）以胰腺肿大和主胰管不规则狭窄为特征，很难与恶性肿瘤鉴别。胰管不规则狭窄是 AIP 的一个特征，可通过内镜逆行胰胆管造影检测到。然而，基于胰管成像区分局限性 AIP 和胰腺癌很困难。本研究概述了超声内镜 (EUS) 引导下的胰腺取样对 AIP 组织病理学诊断的功效。最近针吸活检方法和技术的改进有助于提高该技术的诊断功效。本研究为 AIP 的组织学诊断提供的指导预计将进一步推进使用 EUS 引导的胰腺取样对 AIP 的组织病理学诊断。
Autoimmune pancreatitis (AIP), which is characterized by pancreatic enlargement and irregular narrowing of the main pancreatic duct, is difficult to differentiate from malignancy. The irregular narrowing of the pancreatic duct, which can be detected via endoscopic retrograde cholangiopancreatography, is a characteristic feature of AIP; however, distinguishing between localized AIP and pancreatic cancer based on pancreatic duct imaging is difficult. This study overviews the efficacy of endoscopic ultrasound (EUS)‐guided pancreatic sampling for the histopathological diagnosis of AIP. Recent enhancements in needle biopsy methodologies and technologies have contributed to improvement in the diagnostic efficacy of this technique. The guidance provided in this study for the histological diagnosis of AIP is anticipated to further advance in the histopathological diagnosis of AIP using EUS‐guided pancreatic sampling.