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福島県立医科大学学術成果リポジトリ = Fukushima Medical University Repository >
福島医学会 = The Fukushima Society of Medical Science >
Fukushima Journal of Medical Science >
Vol.63 (2017) >
このアイテムの引用には次の識別子を使用してください:
http://ir.fmu.ac.jp/dspace/handle/123456789/639
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| タイトル: | Contrast-enhanced harmonic endoscopic ultrasonography in gallbladder cancer and pancreatic cancer |
| 著者: | Sugimoto, Mitsuru
Takagi, Tadayuki
Suzuki, Rei
Konno, Naoki
Asama, Hiroyuki
Watanabe, Ko
Nakamura, Jun
Kikuchi, Hitomi
Waragai, Yuichi
Takasumi, Mika
Sato, Yuki
Hikichi, Takuto
Ohira, Hiromasa |
| 学内所属: | 消化器内科学講座
内視鏡診療部 |
| 誌名/書名: | Fukushima Journal of Medical Science |
| 巻: | 63 |
| 号: | 2 |
| 開始ページ: | 39 |
| 終了ページ: | 45 |
| 発行日: | 2017年 |
| 抄録: | Endoscopic ultrasonography (EUS) plays a major role in diagnosing gallbladder (GB) cancer and pancreatic cancer (PC). In cases of GB cancer, EUS allows for precise observations of morphology and wall layers. However, proficiency is required for the morphologic diagnosis of GB tumors. Therefore, contrast-enhanced harmonic EUS (CH-EUS) began to be performed to diagnose GB lesions. CH-EUS enables real-time observation of the hemodynamics of GB tumors. The enhanced patterns generated by CH-EUS improve precision in the diagnosis of such tumors.PC appears as a hypoechoic mass on EUS. However, distinguishing between PC and mass-forming pancreatitis or focal autoimmune pancreatitis (AIP) is difficult via conventional EUS. CH-EUS allows for differentiating among these diseases (PC is hypoenhanced and heterogeneously enhanced, pancreatitis is isoenhanced, and a pancreatic neuroendocrine tumor is hyperenhanced). EUS-guided fine needle aspiration (EUS-FNA) also contributes to pathological diagnoses of pancreatic lesions. However, certain PC patients cannot be diagnosed via EUS-FNA. PC is heterogeneously enhanced on CH-EUS, and unenhanced regions have been reported to be areas of fibrosis or necrosis. CH-EUS-guided fine needle aspiration (CH-EUS-FNA) permits puncturing of the enhanced area while avoiding necrotic and fibrotic regions. Moreover, as CH-EUS findings have been quantitatively analyzed, a time-intensity curve (TIC) has become usable for diagnosing solid pancreatic lesions. CH-EUS-related techniques have been developed and increasingly utilized in the pancreaticobiliary area. |
| 出版者: | The Fukushima Society of Medical Science |
| 出版者（異表記）: | 福島医学会 |
| 本文の言語: | eng |
| このページのURI: | http://ir.fmu.ac.jp/dspace/handle/123456789/639 |
| 本文URL: | http://ir.fmu.ac.jp/dspace/bitstream/123456789/639/1/FksmJMedSci_63_p39.pdf |
| ISSN: | 0016-2590
2185-4610 |
| DOI: | 10.5387/fms.2017-04 |
| PubMed番号: | 28680009 |
| 関連ページ: | http://doi.org/10.5387/fms.2017-04 |
| 権利情報: | © 2017 The Fukushima Society of Medical Science |
| 出現コレクション: | Vol.63 (2017)
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