胰腺钩突部肿瘤行超声内镜引导下针吸活检术的体会

Experience of endoscopic ultrasonography-guided fine needle aspiration for pancreatic uncinate process tumor

摘要:

目的 分析超声内镜引导下针吸活检术（EUS-FNA）对胰腺钩突部肿瘤的诊断价值。方法 回顾性分析13例胰腺钩突部肿瘤患者的临床资料，患者均行EUS-FNA。结果 13例患者中胰腺实质性肿瘤11例，胰腺囊性病变2例；11例实质性肿瘤患者中，获得组织学诊断4例（阳性率36.4%）、细胞学诊断10例（阳性率90.9%），术后并发症包括1例高淀粉酶血症和1例急性水肿性胰腺炎。2例囊性肿瘤患者均获得囊液，行细胞学及肿瘤标记物分析，无术后并发症发生。结论 EUS-FNA用于诊断胰腺钩突部肿瘤是安全有效的，但掌握其技术细节需通过经验的积累。

Abstract:

Objective To assess the diagnostic value of endoscopic ultrasonography-guided fine needle aspiration (EUS-FNA) for pancreatic uncinate process tumor.Methods Clinical data of 13 patients with pancreatic uncinate process tumor, who had underwent EUS-FNA, were retrospectively analyzed.Results For the 11 cases of solid neoplasm, the positive rate of histology diagnosis was 36.4% (4/11), and the positive rate of cytology diagnosis was 90.9% (10/11). Post-operative complications included one case of hyperamylasemia and one case of acute adematous pancreatitis. For the 2 cases of cystic neoplasm, cystic fluid was obtained for the analysis of cytology and tumor marker. No post-operative complications were observed.Conclusion EUS-FNA is safe and efficient for the diagnosis of pancreatic uncinate process tumor. But mastering the technical details requires experience.