胰腺病变内镜超声细针穿刺细胞病理学诊断
被引量:2
摘要
胰腺病变包含了胰腺的各种良性肿瘤、恶性肿瘤以及瘤样病变。随着高清影像学技术的发展,越来越多的胰腺病变被发现。对胰腺病变进行细针穿刺(FNA)取样和细胞学检查已变得越来越普及,对诊断的要求也越来越高。临床医生可以依据FNA诊断结果制定最佳治疗方案,比如术前新辅助化疗,术前确定手术方式,或为因肿瘤晚期、高龄、心肺功能差等因素不宜手术者制定合适的化疗或放疗方案。FNA可在经皮影像学或超声内镜(EUS)引导下进行。和经皮影像学引导的取样相比,超声内镜引导下的细针穿刺检查(EUS—FNA)具有更高的敏感性,并发症发生率也较低,所以近年来EUS—FNA的应用越来越广泛。
出处
《中华消化内镜杂志》
2013年第8期421-423,共3页
Chinese Journal of Digestive Endoscopy
参考文献14
-
1Jhala NC, Jhala D, Ehoum I, et al. Endoscopic ultrasound- guided fine-needle aspiration biopsy: a powerful tool to obtain samples from small lesions. Cancer, 2004,102:239-246.
-
2Shin H J, Lahoti S, Sneige N. Endoscopic ultrasound-guided fine-needle aspiration in 179 cases: the M. D. Anderson Cancer Center experience. Cancer, 2002,96 : 174-180.
-
3Chhieng DC, Jhala D, Jhala N, et al. Endoscopic ultrasound- guided fine-needle aspiration biopsy: a study of 103 cases. Canc- er, 2002,96:232-329.
-
4Stelow EB, Bardales RH, Stanley MW. Pitfalls in endoscopic ul- trasound-guided fine-needle aspiration and how to avoid them. Adv Anat Pathol, 2005,12:62-73.
-
5Lin F, Staerkel G. Cytologic criteria for well differentiated adeno- carcinoma of the pancreas in fine-needle aspiration biopsy speci- mens. Cancer, 2003,99:44-50.
-
6Payne M, Staerkel G, Gong Y. Indeterminate diagnosis in fine- needle aspiration of the pancreas: reasons and clinical implica- tions. Diagu Cytopathol, 2009,37:21-29.
-
7Stelow EB, Bardales RH, Lai R, et al. The cytological spectrum of chronic pancreatitis. Diagn Cytopathol, 2005,32:65-69.
-
8Centeno BA, Warshaw AL, Mayo-Smith W, et al. Cytologic di- agnosis of pancreatic cystic lesions. A prospective study of 28 percutaneous aspirates. Acta Cytol, 1997,41:972-980.
-
9Huang P, Staerkel G, Sneige N, et al. Fine-needle aspiration of pancreatic serous cystadenoma: cytologic features and diagnostic pitfalls. Cancer, 2006,108:239-249.
-
10Pettinato G, Di VD, Manivel JC, et al. Solid-pseudopapillary tumor of the pancreas : a neoplasm with distinct and highly char- acteristic cytological features. Diagu Cytopathol, 2002, 27 : 325-334.
同被引文献16
-
1Ren Z,Zhang P,Zhang X,et al. Solid pseudopapillary neoplasms of the pancreas:clinicopathologic features and surgical treat,nent of 19 cases[J]. Int J Clin Exp Pathol, 2014,7(10) : 6889-6897.
-
2Gilani SM,Tashjian R, Barawi M,et al. Cytologic features of solid pseudopapillary neoplasms of the pancreas:a sin- gle institutional experience based on evaluation of diag- nostic utility of endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) [J].Pathologica,2014, 106 (2): 45-50.
-
3Samad A,Shah AA,Stelow EB,et al. Cercariform cells: another cytologic feature distinguishing solid pseudopap- illary neoplasms from pancreatic endocrine neoplasms and acinar cell carcinomas in endoscopic ultrasound- guided fine-needle aspirates[J]. Cancer Cytopathol, 2013,121 (6) :298-310.
-
4Jhala N,Siegal GP,Jhala D. Large,clear cytoplasmic vac- uolation:an under-recognized cytologic clue to distinguish solid pseudopapillary neoplasms of the pancreas from pancreatic endocrine neoplasms on fine-needle aspiration [J]. Cancer, 2008,114(4) : 249-254.
-
5Ud Din N, Arshad H, Ahmad Z, et al. Solid pseudopapill- lary neoplasm of the pancreas. A elinicopathologic study of 25 eases from Pakistan and review of Literature [J]. Ann Diagu Pathol, 2014,18 (6) : 358-362.
-
6Burford H,Baloch Z,Liu X,et al. E-cadherin/beta-catenin and CD10: a limited immunohistochemical panel to dis- tinguish pancreatic endocrine neoplasm from solid pseu- dopapillary neoplasm of the pancreas on endoscopic ul- trasound-guided fine-needle aspirates of the pancreas[J]. Am J Clin Pathol, 2009,132(6) : 831-839.
-
7Patnayak R, Jena A, Parthasarathy S, et al. Solid and cys- tic papillary neoplasm of pancreas:A clinic-pathological and immunohistochemical study:A tertiary care center experience[J]. South Asian J Cancer,2013,2(3) : 153-157.
-
8Guo Y,Yuan F, Deng H,et al. Paranuclear dot-like im- munostaining for CD99 :a unique staining pattern for di- agnosing solid-pseudopapillary neoplasm of the pancreas [J]. Am J Surg Pathol,2011,35(6) :799-806.
-
9Gomez FM, Patel PA, Stuart S, et al. Systematic review of ablation techniques for the treatment of malignant or ag- gressive benign lesions in children[J].Pediatr Radio, 2014,44( 10):1281-1289.
-
10孙建,简志祥,侯宝华,区应亮,区金锐.腹腔镜超声结合内镜超声评估胰腺癌可切除性的临床价值[J].中山大学学报(医学科学版),2011,32(3):394-397. 被引量:5
引证文献2
-
1孙更财.内镜超声介入应用现状及新进展[J].医学信息(医学与计算机应用),2014,0(10):516-516.
-
2郑金榆,柏涛,陈鸣,吴鸿雁,林旭,章宜芬,孟凡青.胰腺实性-假乳头状肿瘤的内镜超声引导下细针穿刺细胞学特征[J].南京医科大学学报(自然科学版),2015,35(9):1278-1282. 被引量:1
-
1周洪贵,卞度宏.妇科细针穿刺检查[J].中国实用妇科与产科杂志,1999,15(6):330-332.
-
2顾大玫.紫杉醇为主化疗方案治疗乳腺癌的护理[J].中国乡村医药,2005,12(12):59-60.
-
3肖丽达,叶彩欢.436例甲状腺肿块超声诊断与病理结果对照分析[J].新医学,2001,32(7):407-408.
-
4董西莲.宫颈癌术前新辅助化疗的观察护理[J].实用医技杂志,2007,14(1):107-107. 被引量:1
-
5高丽,王贞慧,娄凤兰.肿瘤患者术中静脉炎相关因素分析及护理[J].齐鲁护理杂志,2013,19(3):58-59. 被引量:1
-
6智春兰,史秀丽.肝癌介入性治疗的护理体会[J].山西医药杂志(上半月),2011,40(3):315-316.
-
7唐树银.胃癌患者术前新辅助化疗的心理护理[J].内蒙古中医药,2011,30(22):136-136.
-
8杨丽华.宫颈癌术前新辅助化疗的护理[J].当代护士(中旬刊),2009,16(10):55-57. 被引量:1
-
9吴琼,王燕,李艺,常婷,胡兵.超声引导下细针穿刺活检和实时弹性成像联合应用诊断可疑甲状腺结节的价值[J].中国介入影像与治疗学,2015,12(1):43-46. 被引量:36
-
10邹义兵.28例宫颈癌术前新辅助化疗疗效观察[J].医学信息(下旬刊),2009(8):136-136. 被引量:1