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Journal of Korean Society of Ultrasound in Medicine 2004 ; 23 (2) : p.67-72

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
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