摘要
目的在内镜超声引导下针穿刺活检来确定大肠癌术后盆腔肿块的性质,并评价这种方法的对盆腔病变的诊断价值。方法19例患者在大肠癌术后9～14个月经CT或内镜超声检查发现大肠癌术后的盆腔肿块,其中3例患者同时伴有肿瘤标志物升高。全部患者均曾经结肠镜检查未发现结肠内占位。对其进行内镜超声检查,以明确病变的大小、形态、位置,在内镜超声引导下对病变行细针穿刺活检。结果全部19例患者均接受了细针穿刺活检,经组织细胞学检查13例为腺癌,6例为良性淋巴结病变。全部患者经手术(n=11)及临床随访及(n=8)验证,得出EUSFNA诊断盆腔肿块的敏感性为86.7%。无一例患者出现不良反应。结论内镜超声引导下细针穿刺是确定大肠癌术后盆腔病变性质的安全、准确的方法。
Objective:Endoscopic ultrasound(EUS) guided fine needle aspiration biopsy(FNA) was performed for diagnosis of the pelvic carcinomatosis and the yield and safety of this methods were evaluated.Methods:19 Patients with pelvic lesions were selected by EUS and CT after surgery for colorectal cancers.Among these patients,there were 3 patients also with elevated tumor marker levels at the time of examination.Colonoscopy did not demonstrate recurrence in all the patients.The shape,size,and position of the pelvic l...
出处
《中国消化内镜》
2007年第1期29-31,共3页
Digestive Disease and Endoscopy
关键词
内镜超声
盆腔肿块
细针穿刺活检
Endoscopic ultrasonography
Fine needle aspiration biopsy
Pelvic lesion
