| 刘勤芬,黄丹丹,占强,等.超声内镜引导下细针抽吸活检诊断胰腺实性假乳头状瘤一例[J].安徽医药,2018,22(6):1137-1138. |
| 超声内镜引导下细针抽吸活检诊断胰腺实性假乳头状瘤一例 |
| A case of endoscopic ultrasound-guided fine needle aspiration for diagnosis of solid pseudopapillary tumor of the pancreas |
| 投稿时间：2016-08-30 |
| DOI： |
| 中文关键词: 胰腺肿瘤 腔内超声检查 活组织检查,针吸 |
| 英文关键词: Pancreatic neoplasms Endosonography Biopsy,needle |
| 基金项目: |
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| 摘要点击次数: 1975 |
| 全文下载次数: 691 |
| 中文摘要: |
| 目的 探索超声内镜引导下细针抽吸活检(EUS-FNA)诊断胰腺实性假乳头状瘤(SPTP)诊疗经验。 方法 收集1例EUS-FNA诊断SPTP患者的临床资料,并加以分析总结。 结果 男,50岁,因“反复右上腹痛1个月” 入院,入院前B超检查示:胆囊炎、胆囊结石。CT及增强MRI发现胰颈体部占位。行EUS-FNA,病理细胞学示轻度异型的疑似内分泌细胞,行胆囊切除+胰颈、胰体+脾切除术。病理示:SPTP(低度恶性)。 结论 EUS-FNA使EUS由单纯的影像学解读进一步提高到细胞病理学及组织病理学诊断的高度,为SPTP的诊断作出较全面的诊断,为临床的下一步治疗提供依据。 |
| 英文摘要: |
| Objective To explore the diagnosis of pseudopapillary tumor of the pancreas with endoscopic ultrasound-guided fine needle aspiration. Methods The clinical data of one patient undergoing endoscopic ultrasound-guided fine needle aspiration in the diagnosis of solid pseudopapillary tumor of the pancreas were collected and analyzed. Results Patient,male,50 years old,admitted to hospital because of "repeated right upper abdominal pain for one month".B-ultrasound examination before admission showed cholecystitis and cholecystolithiasis.CT and enhanced MRI found a body occupyingat the neck of the pancreas.Endoscopic ultrasound with fine needle aspiration (EUS-FNA) was conducted.Pathological cytology showed mildly heterogeneous suspected endocrine cells.Cholecystectomy and pancreatic neck,and pancreatic body plus splenectomy were performed.Pathological laboratory results showed solid pseudopapillary tumor of the pancreas (low grade of malignancy). Conclusions EUS-FNA can make EUS further improve the diagnosis with imaging analysis to the level of cytopathological and histopathological analysis.It can provide a more comprehensive diagnosis for solid pseudopapillary tumor of the pancreas and provide the basis for further clinical treatment. |
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