超声内镜在胰腺非恶性肿瘤中的临床应用_West China Medical Journal

Authors：

 张树贤 , 朱振红 ,  李祎

连云港市第一人民医院消化内科（江苏连云港 222000）;

Corresponding author：

李祎, Email: wenzhuabc@sina.com

Keywords：

胰腺非恶性肿瘤; 超声内镜; 细针穿刺

DOI：

10.7507/1002-0179.20150167

Video：

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临床上常见的胰腺非恶性肿瘤主要有胰腺囊性占位性病变、炎症性占位性病变等，此外，还包括一些少见的病变，如胰腺结核等。由于胰腺位置较深，加之病因和性质多变，常规的检查如腹部超声、CT、MRI等难以早期发现和定性诊断。超声内镜技术的普及和发展，以及超声内镜引导下细针穿刺技术的成熟，对胰腺非恶性肿瘤的诊断和治疗带来了极大突破。现就超声内镜对胰腺非恶性肿瘤的诊治规范与临床应用作一综述。

Citation： 张树贤, 朱振红, 李祎. 超声内镜在胰腺非恶性肿瘤中的临床应用. West China Medical Journal, 2015, 30(3): 582-584. doi: 10.7507/1002-0179.20150167 Copy

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2.	Bardales RH, Stelow EB, Mallery S, et al. Rewiew of endoscopic ultrasound-guided fine-needle aspiration cytology[J]. Diagn Cytopathol, 2006, 34(2):140-175.
3.	Scoazec JY, Vullierme MP, Barthet M, et al. Cystic and dutal tumors of pancrens:diagnosic and management[J]. J Visc Surg, 2013, 150(2):69-84.
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6.	Antonini F, Macarri G. Endoscopic ultrasound in the diagonosis of pancreatic cystic lesion[J]. Recenti Prog Med, 2013, 104(11):590-596.
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8.	Hutchins GF, Draganov PV. Cystic neoplasms of the pancreas:a diagnostic challenge[J]. World J Gastroenterol, 2009, 15(1):48-54.
9.	李兆申, 湛先保. 内镜超声检查对胰头部肿块的诊断价值[J]. 中国实用外科杂志, 2009, 29(8):633-635.
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16.	Cheng J, Tadi K, Halpern M, et al. Pancreatic tuberculosis in a human immunodeficiency virus positive patient:a case report[J]. World J Gastroenterol, 2008, 14(6):939-940.
17.	Mulkeen AL, Yoo PS, Cha C. Less common neopassms of the pancreas[J]. World J Gastroenterol, 2006, 12(20):3180-3185.
18.	Elkharwily A, Gottlieb K. The pancreas in familial adenomatous polyposis[J]. JOP, 2008, 9(1):9-18.
19.	Frantz Vk. Tumors of the pancreas[M]//Atlas of tumor pathology. Washington, DC:Armed Forces Institute of Pathology, 1959:32-33.
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25.	Ardengh JC, Lopes CV, Pereira De Lima LF, et al. Diagnosis of pancreatic tumors by endoscopic ultrasound-guided fine-needle aspiration[J]. World J Gastroenterol, 2007, 13(22):3112-3116.
26.	Sakamoto H, Kitano M, Komaki T, et al. Prospective compatative study of the EUS guided 25-gauge FNA needle with the 19-gauge Trucut needle and 22-gague FNA needle in patients with solid pancreatic masses[J]. J Gastroenterol Hepatol, 2009, 24(3):384-390.
27.	Hayashi T, Ishiwatari H, Yoshida M, et al. Rapid on-site evaluation by endosonographer during endoscopic ultrasound-guided fine needle aspiration for pancreatic solid masses[J]. J Gastroenterol Hepaterol, 2013, 28(4):656-663.
28.	Hébert-Magee S, Bae S, Varadarajulu S, et al. The presence of a cytopathologist increases the diagnostic accuracy of endoscopic ultrasound-guided fine needle aspiration cytology for pancreatic adenocarcinoma:a meta-analysis[J]. Cytopathology, 2013, 24(3):159-171.
29.	Ohara K, Kohno M, Hotibe T, et al. Local drug delivery to a human pancreatic tumor via a newly designed multiple injectable needle[J]. Mol Clin Oncol, 2013, 1(2):231-234.
30.	Gan SI, Thompson CC, Lauwers GY, et al. Ethanol lavage of pancreatic cystic lesions:initial pilot study[J]. Gastrointest Endosc, 2005, 61(6):746-752.
31.	Aslanian H, Salem RR, Marginean C, et al. EUS-guided ethanol injection of normal porcine pancreas:a pilot study[J]. Gastrointest Endosc, 2005, 62(5):723-727.
32.	Oh HC, Seo DW, Lee TY, et al. New treatment for cystic tumors of the pancreas:EUS-guided ethanol lavage with paclitaxel injection[J]. Gastrointest Endosc, 2008, 67(4):636-642.

1. Noh KW, Pungpapong S, Raimondo M. Role of endosonogtaphy in non-malight pancreatic diseases[J]. World J Gastroenterol, 2007, 13(2):165-169.
2. Bardales RH, Stelow EB, Mallery S, et al. Rewiew of endoscopic ultrasound-guided fine-needle aspiration cytology[J]. Diagn Cytopathol, 2006, 34(2):140-175.
3. Scoazec JY, Vullierme MP, Barthet M, et al. Cystic and dutal tumors of pancrens:diagnosic and management[J]. J Visc Surg, 2013, 150(2):69-84.
4. Brugge WR, Lauwers GY, Sahani D, et al. Cystic neoplasms of the pancreas[J]. N Engl J Med, 2004, 351(12):1218-1226.
5. Limaiem F, Khalfallah T, Farhat LB, et al. Pancreatic cystic neoplasms[J]. N Am J Med Sci, 2014, 6(8):413-417.
6. Antonini F, Macarri G. Endoscopic ultrasound in the diagonosis of pancreatic cystic lesion[J]. Recenti Prog Med, 2013, 104(11):590-596.
7. Khalid A, Zahid M, Finkelstein SD, et al. Pancreatic cyst fluid DNA analysis in evaluating pancreatic cysts:a report of the PANDA study[J]. Gastrointest Endosc, 2009, 69(6):1095-1102.
8. Hutchins GF, Draganov PV. Cystic neoplasms of the pancreas:a diagnostic challenge[J]. World J Gastroenterol, 2009, 15(1):48-54.
9. 李兆申, 湛先保. 内镜超声检查对胰头部肿块的诊断价值[J]. 中国实用外科杂志, 2009, 29(8):633-635.
10. Chaya CT, Bhutani MS. Ultrasonography of the pancreas. 6. Endoscopic imaging[J]. Abdom Imaging, 2007, 32(2):191-199.
11. Ali S, Wilkinson N, Jensen CS, et al. EUS-guided Trucut biopsise may enable the diagnosis of lymphoepithelial cysts of the pancreas. Report of two cases[J]. JOP, 2009, 10(4):409-412.
12. Ahlawat SK. Lymphoepithelial cyst of pancreas. Role of endoscopic ultrasound guided fine needle aspiration[J]. JOP, 2008, 9(2):230-234.
13. Luchtrath H, Schriefers KH. A pancreatic cyst with features of a so-called branchiogeinc cyst[J]. Pathologe, 1985, 6(4):217-219.
14. Raut, CP, Fernandez-del Castillo C. Giant lipoma of the pancreas:case report and review of lipomatous lesions of the pancreas[J]. Pancreas, 2003, 26(1):97-99.
15. Suauki R, Lrisawa A, Hikichi T, et al. Pancreatic lipoma diagnosed using EUS-FNA. A case report[J]. JOP, 2009, 10(2):200-203.
16. Cheng J, Tadi K, Halpern M, et al. Pancreatic tuberculosis in a human immunodeficiency virus positive patient:a case report[J]. World J Gastroenterol, 2008, 14(6):939-940.
17. Mulkeen AL, Yoo PS, Cha C. Less common neopassms of the pancreas[J]. World J Gastroenterol, 2006, 12(20):3180-3185.
18. Elkharwily A, Gottlieb K. The pancreas in familial adenomatous polyposis[J]. JOP, 2008, 9(1):9-18.
19. Frantz Vk. Tumors of the pancreas[M]//Atlas of tumor pathology. Washington, DC:Armed Forces Institute of Pathology, 1959:32-33.
20. Papavramidis T, Papavramidis S. Solid pseudopapillary tumors of the pancreas:review of 718 patients reported in English literature[J]. J Am Coll Surg, 2005, 200(6):965-972.
21. Campbell F, Azadeh B. Cystic neoplasms of the exocrine pancreas[J]. Histopathology, 2008, 52(5):539-551.
22. Geers C, Moulin P, Gigot JF, et al. Solid and pseudopapillary tumor of the pancreas:review and new insights into pathogenesis[J]. Am J Surg Pathol, 2006, 30(10):1243-1249.
23. Pailoor K, Kini H, Rau AR, et al. Cytological diagnosis of a rare case of solid pseudopapillary neoplasm of the pancreas[J]. J Cytol, 2010, 27(1):32-34.
24. Burford H, Baloch Z, Liu X, et al. E-cadherin/beta-catenin and CD10:a limited immunohistochemical panel to distinguish pancreatic endocrine neoplasm from solid pseudopapillary neoplasm of the pancreas on endoscopic ultrasound-guided fine-needle aspirates of the pancreas[J]. Am J Clin Pathol, 2009, 132(6):831-839.
25. Ardengh JC, Lopes CV, Pereira De Lima LF, et al. Diagnosis of pancreatic tumors by endoscopic ultrasound-guided fine-needle aspiration[J]. World J Gastroenterol, 2007, 13(22):3112-3116.
26. Sakamoto H, Kitano M, Komaki T, et al. Prospective compatative study of the EUS guided 25-gauge FNA needle with the 19-gauge Trucut needle and 22-gague FNA needle in patients with solid pancreatic masses[J]. J Gastroenterol Hepatol, 2009, 24(3):384-390.
27. Hayashi T, Ishiwatari H, Yoshida M, et al. Rapid on-site evaluation by endosonographer during endoscopic ultrasound-guided fine needle aspiration for pancreatic solid masses[J]. J Gastroenterol Hepaterol, 2013, 28(4):656-663.
28. Hébert-Magee S, Bae S, Varadarajulu S, et al. The presence of a cytopathologist increases the diagnostic accuracy of endoscopic ultrasound-guided fine needle aspiration cytology for pancreatic adenocarcinoma:a meta-analysis[J]. Cytopathology, 2013, 24(3):159-171.
29. Ohara K, Kohno M, Hotibe T, et al. Local drug delivery to a human pancreatic tumor via a newly designed multiple injectable needle[J]. Mol Clin Oncol, 2013, 1(2):231-234.
30. Gan SI, Thompson CC, Lauwers GY, et al. Ethanol lavage of pancreatic cystic lesions:initial pilot study[J]. Gastrointest Endosc, 2005, 61(6):746-752.
31. Aslanian H, Salem RR, Marginean C, et al. EUS-guided ethanol injection of normal porcine pancreas:a pilot study[J]. Gastrointest Endosc, 2005, 62(5):723-727.
32. Oh HC, Seo DW, Lee TY, et al. New treatment for cystic tumors of the pancreas:EUS-guided ethanol lavage with paclitaxel injection[J]. Gastrointest Endosc, 2008, 67(4):636-642.

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超声内镜在胰腺非恶性肿瘤中的临床应用

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