超声内镜引导下细针抽吸术对门静脉癌栓的诊断价值(含视频)

Diagnostic value of endoscopic ultrasound-guided fine needle aspiration for portal vein tumor thrombus (with video)

为评价超声内镜引导下细针抽吸术(endoscopic ultrasound guided-fine needle aspiration,EUS-FNA)对门静脉癌栓的诊断价值,收集2015年4月—2020年7月于苏州大学附属第二医院行CT或磁共振成像提示消化系统恶性肿瘤伴门静脉癌栓行门静脉栓子EUS-FNA的患者资料。共纳入7例患者,其中原发恶性肿瘤为肝脏恶性肿瘤2例,胰腺恶性肿瘤3例,胃恶性肿瘤2例。7例患者均成功实施了门静脉栓子EUS-FNA,栓子病理提示恶性肿瘤5例,未见肿瘤细胞2例。患者均未发生局部血肿、腹腔出血、感染等并发症。对消化系统恶性肿瘤伴门静脉栓子的患者实施EUS-FNA是一种安全有效的检查方法。

To evaluate the diagnostic value of endoscopic ultrasound-guided fine needle aspiration(EUS-FNA)for portal vein tumor thrombus,data of patients with digestive system malignant tumors combined with portal vein tumor thrombus diagnosed by CT or magnetic resonance imaging who underwent EUS-FNA from April 2015 to July 2020 in the Second Affiliated Hospital of Soochow University were collected.A total of 7 patients were included,with 2 cases of primary hepatocellular carcinoma,3 cases of primary pancreatic carcinoma and 2 cases of primary gastric cancer.EUS-FNA was successfully performed in 7 patients with portal vein embolus.Pathological examination of portal vein embolus showed 5 cases of malignant tumor.No tumor cell was found in 2 cases.There were no complications such as local hematoma,abdominal hemorrhage or infection in all patients.EUS-FNA is safe and effective for patients diagnosed as having malignant tumors with portal vein embolus.