Endoscopic ultrasound diagnosis of space-occupying lesions in the pancreas
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摘要:
胰腺占位性病变病因复杂,种类多样,治疗方式不一,其诊断与鉴别诊断一直是临床的难点。超声内镜是目前针对胰腺占位性病变较为敏感和有效的检查方法之一。就超声内镜在胰腺占位性病变中的诊断进展作一评述,重点介绍了超声内镜对临床常见的各种胰腺占位性病变的诊断效率,阐述超声内镜引导下细针穿刺术及其他相关技术在胰腺占位性病变诊断中的应用进展。
Abstract:Space-occupying lesions in the pancreas have complex etiologies,various types,and different treatment methods,and the diagnosis and differential diagnosis of such lesions have always been a difficult issue in clinical practice.Endoscopic ultrasound(EUS) is a relatively sensitive and effective method for space-occupying lesions in the pancreas.This article reviews the advances in the value of EUS in the diagnosis of space-occupying lesions in the pancreas,introduces the efficiency of EUS in common space-occupying lesions in the pancreas,and elaborates on the latest advances in EUS-guided fine-needle aspiration and other related techniques in the diagnosis of space-occupying lesions in the pancreas.
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Key words:
- pancreatic diseases /
- endoscopic ultrasonography /
- diagnosis
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[1] LEE LS,ANDERSEN DK,ASHIDA R,et al. Endoscopic ultrasound and related technologies for the diagnosis and treatment of pancreatic disease-research gaps and opportunities:Summary of a national institute of diabetes and digestive and kidney diseases workshop[J]. Pancreas,2017,46(10):1242-1250. [2] TESHIMA CW,SANDHA GS. Endoscopic ultrasound in the diagnosis and treatment of pancreatic disease[J]. World J Gastroenterol,2014,20(29):9976-9989. [3] KITANO M,YOSHIDA T,ITONAGA M,et al. Impact of endoscopic ultrasonography on diagnosis of pancreatic cancer[J].J Gastroenterol,2019,54(1):19-32. [4] BARTELL N,BITTNER K,VETTER MS,et al. Role of endoscopic ultrasound in detecting pancreatic cancer missed on cross-sectional imaging in patients presenting with pancreatitis:A retrospective review[J]. Dig Dis Sci,2019,64(12):3623-3629. [5] VILMANN P,JACOBSEN GK,HENRIKSEN FW,et al. Endoscopic ultrasonography with guided fine needle aspiration biopsy in pancreatic disease[J]. Gastrointest Endosc,1992,38(2):172-173. [6] YANG F,LIU E,SUN S. Rapid on-site evaluation(ROSE)with EUS-FNA:The ROSE looks beautiful[J]. Endosc Ultrasound,2019,8(5):283-287. [7] SHACHNER TR,NODIT L,HUBBARD E,et al. Improving ROSE:Discrepant touch preparation and histology findings in cytology of renal masses:A 10-year retrospective review[J]. Diagn Cytopathol,2019,47(10):999-1006. [8] SEICEAN A,MOSTEANU O,SEICEAN R. Maximizing the endosonography:The role of contrast harmonics,elastography and confocal endomicroscopy[J]. World J Gastroenterol,2017,23(1):25-41. [9] DIETRICH CF. Contrast-enhanced endobronchial ultrasound:Potential value of a new method[J]. Endosc Ultrasound,2017,6(1):43-48. [10] KUWAHARA T,HARA K,MIZUNO N,et al. Present status of ultrasound elastography for the diagnosis of pancreatic tumors:Review of the literature[J]. J Med Ultrason(2001),2020.[Online ahead of print] [11] GIOVANNINI M,HOOKEY LC,BORIES E,et al. Endoscopic ultrasound elastography:The first step towards virtual biopsy?Preliminary results in 49 patients[J]. Endoscopy,2006,38(4):344-348. [12] COSTACHE MI,CAZACU IM,DIETRICH CF,et al. Clinical impact of strain histogram EUS elastography and contrastenhanced EUS for the differential diagnosis of focal pancreatic masses:A prospective multicentric study[J]. Endosc Ultrasound,2020,9(2):116-121. [13] DEERENBERG EB,POLEY JW,HERMANS JJ,et al. Role of endoscopic ultrasonography in patients suspected of pancreatic cancer with negative helical MDCT scan[J]. Dig Surg,2011,28(5-6):398-403. [14] KAMATA K,KITANO M,KUDO M,et al. Value of EUS in early detection of pancreatic ductal adenocarcinomas in patients with intraductal papillary mucinous neoplasms[J]. Endoscopy,2014,46(1):22-29. [15] OKUSAKA T,NAKAMURA M,YOSHIDA M,et al. Clinical practice guidelines for pancreatic cancer 2019 from the Japan pancreas society:A Synopsis[J]. Pancreas,2020,49(3):326-335. [16] CHANTAROJANASIRI T,HIROOKA Y,KAWASHIMA H,et al.Endoscopic ultrasound in diagnosis of solid pancreatic lesions:Elastography or contrast-enhanced harmonic alone versus the combination[J]. Endosc Int Open,2017,5(11):e1136-e1143. [17] LI Y,JIN H,LIAO D,et al. Contrast-enhanced harmonic endoscopic ultrasonography for the differential diagnosis of pancreatic masses:A systematic review and meta-analysis[J].Mol Clin Oncol,2019,11(4):425-433. [18] GONG TT,HU DM,ZHU Q. Contrast-enhanced EUS for differential diagnosis of pancreatic mass lesions:A meta-analysis[J]. Gastrointest Endosc,2012,76(2):301-309. [19] MEI S,WANG M,SUN L. Contrast-enhanced EUS for differential diagnosis of pancreatic masses:A meta-analysis[J].Gastroenterol Res Pract,2019,2019:1670183. [20] KIM SY,CHO JH,KIM YJ,et al. Diagnostic efficacy of quantitative endoscopic ultrasound elastography for differentiating pancreatic disease[J]. J Gastroenterol Hepatol,2017,32(5):1115-1122. [21] LU Y,CHEN L,LI C,et al. Diagnostic utility of endoscopic ultrasonography-elastography in the evaluation of solid pancreatic masses:A meta-analysis and systematic review[J].Med Ultrason,2017,19(2):150-158. [22] BANAFEA O,MGHANGA FP,ZHAO J,et al. Endoscopic ultrasonography with fine-needle aspiration for histological diagnosis of solid pancreatic masses:A meta-analysis of diagnostic accuracy studies[J]. BMC Gastroenterol,2016,16:108. [23] GRESS F,GOTTLIEB K,SHERMAN S,et al. Endoscopic ultrasonography-guided fine-needle aspiration biopsy of suspected pancreatic cancer[J]. Ann Intern Med,2001,134(6):459-464. [24] KANNO A,MASAMUNE A,HANADA K,et al. Multicenter study of early pancreatic cancer in Japan[J]. Pancreatology,2018,18(1):61-67. [25] KITANO M,KUDO M,YAMAO K,et al. Characterization of small solid tumors in the pancreas:The value of contrast-enhanced harmonic endoscopic ultrasonography[J]. Am J Gastroenterol,2012,107(2):303-310. [26] BAO PQ,JOHNSON JC,LINDSEY EH,et al. Endoscopic ultrasound and computed tomography predictors of pancreatic cancer resectability[J]. J Gastrointest Surg,2008,12(1):10-16; discussion 16. [27] TELLEZ-AVILA FI,CHAVEZ-TAPIA NC,LPEZ-ARCE G,et al. Vascular invasion in pancreatic cancer:Predictive values for endoscopic ultrasound and computed tomography imaging[J]. Pancreas,2012,41(4):636-638. [28] YANG R,LU M,QIAN X,et al. Diagnostic accuracy of EUS and CT of vascular invasion in pancreatic cancer:A systematic review[J]. J Cancer Res Clin Oncol,2014,140(12):2077-2086. [29] NAWAZ H,FAN CY,KLOKE J,et al. Performance characteristics of endoscopic ultrasound in the staging of pancreatic cancer:A meta-analysis[J]. JOP,2013,14(5):484-497. [30] IMAZU H,UCHIYAMA Y,MATSUNAGA K,et al. Contrastenhanced harmonic EUS with novel ultrasonographic contrast(Sonazoid)in the preoperative T-staging for pancreaticobiliary malignancies[J]. Scand J Gastroenterol,2010,45(6):732-738. [31] MIYATA T,KITANO M,OMOTO S,et al. Contrast-enhanced harmonic endoscopic ultrasonography for assessment of lymph node metastases in pancreatobiliary carcinoma[J].World J Gastroenterol,2016,22(12):3381-3391. [32] KURITA A,KODAMA Y,NAKAMOTO Y,et al. Impact of EUS-FNA for preoperative para-aortic lymph node staging in patients with pancreatobiliary cancer[J]. Gastrointest Endosc,2016,84(3):467-475. [33] NGUYEN PT,CHANG KJ. EUS in the detection of ascites and EUS-guided paracentesis[J]. Gastrointest Endosc,2001,54(3):336-339. [34] DEWITT J,YU M,AL-HADDAD MA,et al. Survival in patients with pancreatic cancer after the diagnosis of malignant ascites or liver metastases by EUS-FNA[J]. Gastrointest Endosc,2010,71(2):260-265. [35] ANAIZI A,HART PA,CONWELL DL. Diagnosing chronic pancreatitis[J]. Dig Dis Sci,2017,62(7):1713-1720. [36] DIMAGNO MJ,DIMAGNO EP. Chronic pancreatitis[J]. Curr Opin Gastroenterol,2013,29(5):531-536. [37] LIU QY,GUGIG R,TROENDLE DM,et al. The roles of endoscopic ultrasound and endoscopic retrograde cholangiopancreatography in the evaluation and treatment of chronic pancreatitis in children:A position paper from the north american society for pediatric gastroenterology,hepatology,and nutrition pancreas committee[J]. J Pediatr Gastroenterol Nutr,2020,70(5):681-693. [38] HARMSEN FR,DOMAGK D,DIETRICH CF,et al. Discriminating chronic pancreatitis from pancreatic cancer:Contrast-enhanced EUS and multidetector computed tomography in direct comparison[J]. Endosc Ultrasound,2018,7(6):395-403. [39] LI X,XU W,SHI J,et al. Endoscopic ultrasound elastography for differentiating between pancreatic adenocarcinoma and inflammatory masses:A meta-analysis[J]. World J Gastroenterol,2013,19(37):6284-6291. [40] KUWAHARA T,HIROOKA Y,KAWASHIMA H,et al. Quantitative diagnosis of chronic pancreatitis using EUS elastography[J]. J Gastroenterol,2017,52(7):868-874. [41] PROYE CA,LOKEY JS. Current concepts in functioning endocrine tumors of the pancreas[J]. World J Surg,2004,28(12):1231-1238. [42] KANN PH. Endoscopic Ultrasound in endocrinology:Imaging of the adrenals and the endocrine pancreas[J]. Front Horm Res,2016,45:46-54. [43] ARDENGH JC,ROSENBAUM P,GANC AJ,et al. Role of EUS in the preoperative localization of insulinomas compared with spiral CT[J]. Gastrointest Endosc,2000,51(5):552-555. [44] TIO TL. Endoscopic ultrasonography in patients with gastrinomas[J]. Ital J Gastroenterol Hepatol,1999,31(Suppl 2):s172-s178. [45] RAMESH J,PORTERFIELD J,VARADARAJULU S. Endoscopic ultrasound-guided gold fiducial marker placement for intraoperative identification of insulinoma[J]. Endoscopy,2012,44(Suppl 2 UCTN):e327-e328. [46] TANAKA M,FERNNDEZ-DEL CASTILLO C,ADSAY V,et al.International consensus guidelines 2012 for the management of IPMN and MCN of the pancreas[J]. Pancreatology,2012,12(3):183-197. [47] CRINSF,FRULLONI L. Pancreatic cyst:What clinician needs?[J]. Endosc Ultrasound,2018,7(5):293-296. [48] AL-TURKMANI MR,GORDON SR,SMITH KD,et al. Pancreatic cyst fluid harboring a KRAS mutation[J]. Cold Spring Harb Mol Case Stud,2019,5(2):a003830. [49] ODUYEBO I,LAW JK,ZAHEER A,et al. Choledochal or pancreatic cyst? Role of endoscopic ultrasound as an adjunct for diagnosis:A case series[J]. Surg Endosc,2015,29(9):2832-2836. [50] KAMATA K,KITANO M,OMOTO S,et al. Contrast-enhanced harmonic endoscopic ultrasonography for differential diagnosis of pancreatic cysts[J]. Endoscopy,2016,48(1):35-41. [51] HARIMA H,KAINO S,SHINODA S,et al. Differential diagnosis of benign and malignant branch duct intraductal papillary mucinous neoplasm using contrast-enhanced endoscopic ultrasonography[J]. World J Gastroenterol,2015,21(20):6252-6260. [52] YAMAMOTO N,KATO H,TOMODA T,et al. Contrast-enhanced harmonic endoscopic ultrasonography with time-intensity curve analysis for intraductal papillary mucinous neoplasms of the pancreas[J]. Endoscopy,2016,48(1):26-34. [53] OHNO E,HIROOKA Y,ITOH A,et al. Intraductal papillary mucinous neoplasms of the pancreas:differentiation of malignant and benign tumors by endoscopic ultrasound findings of mural nodules[J]. Ann Surg,2009,249(4):628-634. [54] SUZUKI R,THOSANI N,ANNANGI S,et al. Diagnostic yield of EUS-FNA-based cytology distinguishing malignant and benign IPMNs:A systematic review and meta-analysis[J].Pancreatology,2014,14(5):380-384. [55] WANG QX,XIAO J,ORANGE M,et al. EUS-guided FNA for diagnosis of pancreatic cystic lesions:A meta-analysis[J].Cell Physiol Biochem,2015,36(3):1197-1209. [56] LVY P,REBOURS V. The role of endoscopic ultrasound in the diagnosis of cystic lesions of the pancreas[J]. Visc Med,2018,34(3):192-196. [57] JANI N,BANI HANI M,SCHULICK RD,et al. Diagnosis and management of cystic lesions of the pancreas[J]. Diagn Ther Endosc,2011,2011:478913. [58] ZHANG W,LINGHU E,CHAI N,et al. New criteria to differentiate between mucinous cystic neoplasm and serous cystic neoplasm in pancreas by endoscopic ultrasound:A preliminarily confirmed outcome of 41 patients[J]. Endosc Ultrasound,2017,6(2):116-122. [59] KUBO H,NAKAMURA K,ITABA S,et al. Differential diagnosis of cystic tumors of the pancreas by endoscopic ultrasonography[J]. Endoscopy,2009,41(8):684-689. [60] YIP HC,TEOH A. Endoscopic management of peri-pancreatic fluid collections[J]. Gut Liver,2017,11(5):604-611. [61] FAIAS S,DUARTE M,ALBUQUERQUE C,et al. Clinical impact of KRAS and GNAS analysis added to CEA and cytology in pancreatic cystic fluid obtained by EUS-FNA[J]. Dig Dis Sci,2018,63(9):2351-2361.
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