|
Usefulness of Ultrasonography-Guided Biopsy for the Pancreatic |
|
Eun Joo Yun, M.D. Chul Soon Choi, M.D., Dae Young Yoon, M.D.,Sang Joon Park, M.D., Young Lan Seo, M.D., Jeung Hee Moon, M.D.,Kyoung Ja Lim, M.D., Sang Hoon Bae, M.D.* |
|
Department of Radiology, Kangdong Sacred Heart Hospital, Hallym University College of Medicine,Department of Radiology, Hallym University Sacred Heart Hospital* |
|
PURPOSE : To evaluate the diagnostic yield and to assess the complications after ultrasonography-guided biopsy using
an 18 G cut needle for pancreatic lesions.
MATERIALS and METHODS : Ultrasonography (Sequoia 512, Acuson, Mountain View, Ca, U.S.A.) guided biopsies using
an 18 G through-cut needle (ACECUT, TSK laboratory, Tochigi-shi, Tochigi-ken, Japan) were performed
on 43 patients (27 men and 16 women, mean age = 59 years) with detected pancreatic lesions. The locations of
pancreatic lesions were 11 (25%) in the head and uncinate process, 2 (5%) in the neck, 15 (35%) in the body, 10
(23%) in the tail, and 5 (12%) were of the diffuse type. The diagnostic yield and assessment of complications
were retrospectively analysed.
RESULTS : Tissue adequate for pathologic diagnosis was obtained in 38 (88%) of 43 patients. The pancreatic lesions
were confirmed as adenocarcinomas (n=26), metastasis (n=3), suspicious malignancy (n=1), inflammatory
pseudotumor (n=1), microcystic cystadenoma (n=1), and chronic pancreatitis (n=6). No major complications
were seen, but mild fever and transient abdominal pain did occur (n=4).
CONCLUSION : Ultrasonography-guided biopsy using an 18 G cut needle is an effective and safe diagnostic method
for the evaluation of pancreatic lesions. |
|
Keyword : Pancreas, US Pancreas, biopsy Biopsies, technology |
|
pdf파일 : 067-072윤은주.pdf
|
|