超声内镜引导细针穿刺抽吸术精准诊断胃癌术后胰腺转移癌一例

Accurate diagnosis of pancreatic metastases after gastric cancer surgery by endoscopic ultrasound-guided fine needle aspiration:a case report

胰腺转移癌在临床上十分罕见,并且其诊断和治疗较为复杂,往往不易被发现。但近年来随着人民生活水平的提高以及各种精密诊断仪器和精准诊断方法的不断发展,特别是超声内镜引导细针穿刺抽吸术(EUS-FNA)的飞速发展,胰腺转移癌的检出率有逐渐上升的趋势。EUS-FNA技术具有创伤小、恢复快、诊断精准度高的优势。该文报道了1例67岁男性,8年前确诊胃癌,7个月前确诊胃癌食管转移,现发现胰腺占位的患者,经EUS-FNA获取病理后,确诊为胃癌胰腺转移,为后续指导治疗提供循证医学证据。

Metastatic pancreatic cancer is extremely rare in clinical practice,which is difficult to be identified due to complex diagnosis and treatment.However,with the improvement of living standards and continuous development of various precision diagnostic instruments and methods in recent year,especially the rapid development of endoscopic ultrasound-guided fine needle aspiration(EUS-FNA),the detection rate of pancreatic metastases has been gradually increased.EUS-FNA has multiple advantages of mild trauma,rapid recovery and high diagnostic accuracy.In this report,a 67-year old male patient who was diagnosed with gastric cancer 8years ago and esophageal metastases from gastric cancer 7 months ago developed pancreatic space-occupying lesions.After pathological examination through EUS-FNA,he was diagnosed with pancreatic metastases from gastric cancer,providing evidence-based guidance for subsequent treatment.