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논문KCI 등재

췌장 낭성 종양의 내시경적 감별

Endoscopic Diagnosis of Pancreatic Cystic Tumors

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초록

Pancreatic cystic neoplasms are frequently recognized on routine screening cross-sectional imaging studies, such as computedtomography (CT) and magnetic resonance imaging (MRI), which can be used in their diagnosis and management whencharacteristic features are present. However, not all such neoplasms can be evaluated completely with CT or MRI and the diagnosisand risk of malignancy are often unclear. Despite recent advances in these diagnostic modalities, the preoperative diagnosis ofpancreatic cystic tumors remains difficult. Endoscopic ultrasonography (EUS) has been used increasingly for the diagnosis ofpancreatic cystic tumors, as it provide high-resolution images of pancreatic cystic tumors and EUS-guided fine needle aspiration(EUS-FNA) can enable the analysis of cystic fluid for cytology and tumor markers. EUS-FNA provides useful information for thedifferential diagnosis of mucinous cystic lesions, although it has limited diagnostic accuracy. Other techniques and markers areneeded to improve the diagnostic accuracy of mucinous cystic lesions.

Abstract

Pancreatic cystic neoplasms are frequently recognized on routine screening cross-sectional imaging studies, such as computedtomography (CT) and magnetic resonance imaging (MRI), which can be used in their diagnosis and management whencharacteristic features are present. However, not all such neoplasms can be evaluated completely with CT or MRI and the diagnosisand risk of malignancy are often unclear. Despite recent advances in these diagnostic modalities, the preoperative diagnosis ofpancreatic cystic tumors remains difficult. Endoscopic ultrasonography (EUS) has been used increasingly for the diagnosis ofpancreatic cystic tumors, as it provide high-resolution images of pancreatic cystic tumors and EUS-guided fine needle aspiration(EUS-FNA) can enable the analysis of cystic fluid for cytology and tumor markers. EUS-FNA provides useful information for thedifferential diagnosis of mucinous cystic lesions, although it has limited diagnostic accuracy. Other techniques and markers areneeded to improve the diagnostic accuracy of mucinous cystic lesions.

참고문헌 (59)

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