Impact of endoscopic ultrasonography on diagnosis of pancreatic cancer.

Impact of endoscopic ultrasonography on diagnosis of pancreatic cancer.
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DOI:
10.1007/s00535-018-1519-2
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发表时间:
2019-01
影响因子:
6.3
通讯作者:
Yamashita Y
Yamashita Y
中科院分区:
医学1区
文献类型:
--
作者:
Kitano M;Yoshida T;Itonaga M;Tamura T;Hatamaru K;Yamashita Y

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越来越多的证据表明,超声内镜(EUS)对胰腺癌的临床评价有很大的影响。EUS可以提供胰腺的高分辨率图像,其质量被认为远远超过经腹超声(US),计算机断层扫描(CT)或磁共振成像(MRI)。EUS特别适用于胰腺小病变的检测,而EUS及其相关技术,如对比增强EUS (CE-EUS)、EUS弹性成像和EUS引导下细针穿刺(EUS- fna)也可用于胰腺实性或囊性病变的鉴别诊断以及胰腺癌的分期(t分期、n分期和m分期)。在胰腺病变的诊断中,CE-EUS和EUS弹性成像对常规EUS具有补充作用。当使用EUS- fna进行采样时,CE-EUS和EUS弹性成像提供目标病变的信息。因此,常规EUS、CE-EUS、EUS弹性成像和EUS- fna在胰腺癌的临床研究中是必不可少的。
Accumulated evidence has revealed that endoscopic ultrasonography (EUS) has had a great impact on the clinical evaluation of pancreatic cancers. EUS can provide high-resolution images of the pancreas with a quality regarded as far surpassing that achieved on transabdominal ultrasound (US), computed tomography (CT), or magnetic resonance imaging (MRI). EUS is particularly useful for the detection of small pancreatic lesions, while EUS and its related techniques such as contrast-enhanced EUS (CE-EUS), EUS elastography, and EUS-guided fine needle aspiration (EUS-FNA) are also useful in the differential diagnosis of solid or cystic pancreatic lesions and the staging (T-staging, N-staging, and M-staging) of pancreatic cancers. In the diagnosis of pancreatic lesions, CE-EUS and EUS elastography play a complementary role to conventional EUS. When sampling is performed using EUS-FNA, CE-EUS and EUS elastography provide information on the target lesions. Thus, conventional EUS, CE-EUS, EUS elastography, and EUS-FNA are essential in the clinical investigation of pancreatic cancer.
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