内镜超声引导下细针抽吸术诊断继发性胰腺肿瘤11例分析  

Efficacy of endoscopic ultrasound-guided fine needle aspiration in the diagnosis of metastases to the pancreas:an analysis of 11 cases

作　　者：张震 陈天音 周平红 陈巍峰 李全林 胡健卫 蔡明琰 徐晓玥 柳滟波 张轶群 Zhang Zhen;Chen Tianyin;Zhou Pinghong;Chen Weifeng;Li Quanlin;Hu Jianwei;Cai Mingyan;Xu Xiaoyue;Liu Yanbo;Zhang Yiqun(Endoscopy Center,Zhongshan Hospital,Fudan University,Shanghai 200032,China)

机构地区：[1]复旦大学附属中山医院内镜中心,上海200032

出　　处：《中华消化内镜杂志》2021年第9期743-746,共4页Chinese Journal of Digestive Endoscopy

基　　金：上海市卫生健康委员会青年基金(20194Y0138);复旦大学附属中山医院科研发展基金(2019ZSFZ28)。

摘　　要：评估内镜超声引导下细针抽吸术(endoscopic ultrasound-guided fine needle aspiration,EUS-FNA)诊断继发性胰腺肿瘤的有效性。回顾性分析2015年1月—2020年11月在复旦大学附属中山医院内镜中心因胰腺占位性病变行EUS-FNA,且病理证实为继发性胰腺肿瘤的患者资料。统计患者的临床特征,肿瘤EUS表现,病理类型和分布,以及后续治疗及随访情况。11例患者经EUS-FNA最终诊断为继发性胰腺肿瘤,其中肾脏来源4例,肺来源4例,结肠、乳腺、膀胱来源各1例。EUS主要呈均匀低回声表现(10/11),周围边界不清晰(6/11)。近半数患者(5/11)可在转移灶附近发现淋巴结肿大。转移灶诊断与原发肿瘤发现的时间跨度从6 d至27年不等。EUS-FNA可有效诊断继发性胰腺肿瘤。To evaluate the efficacy of endoscopic ultrasound-guided fine needle aspiration(EUS-FNA)for patients with metastases to the pancreas.Data on patients with pancreatic lesions who underwent EUS-FNA and confirmed as having metastases to the pancreas at the Endoscopy Center of Zhongshan Hospital,Fudan University from January 2015 to November 2020 were retrospectively analyzed.Characteristics of patients,EUS performance,pathological results,and follow-up were reviewed and analyzed.A total of 11 patients were diagnosed of metastasis to pancreas by EUS-FNA.The primary tumor mainly came from kidney(4/11)and lung(4/11),and the rest from colon(1/11),breast(1/11)and bladder(1/11),respectively.EUS performance of metastases to the pancreas mostly presented homogeneous hypoecho(10/11)with unclear margin(6/11).Enlarged lymphnodes were noticed in nearly half of the patients(5/11).The time span from detection of primary tumor to metastases ranged from 6 days to 27 years.EUS-FNA is effective in the diagnosis of metastases to the pancreas.

关 键 词：超声检查 介入性 诊断 胰腺肿瘤 继发性肿瘤 

分 类 号：R735.9[医药卫生—肿瘤]