- 期刊
- OpenAccess
Pancreatic Carcinoma in the Setting of Normal Pancreatogram
胰臟癌呈現正常胰攝影像
摘要
文獻報告逆行性內視鏡膽胰管攝影術對胰臟癌的診斷敏感度及專一度各為94%和97%。一般相信幾乎所有胰臟癌病人的胰攝影像都是不正常的。本院從1993年1月至1995年12月，經由逆行性內視鏡膽胰管攝影術，在154例胰臟癌中，共發現4例正常的胰攝影像。本文主要提醒臨床醫師，胰臟癌呈現正常胰攝影像可能會被誤診。對於這些病人，主胰管和副胰管兩者的顯影是必須且重要的。
並列摘要
The reported sensitivity and specificity of endoscopic retrograd cholangiopancreatography (ERCP) for the diagnosis of pancreatic carcinoma are 94% and 97%, respectively. It is generally believed that the well-demonstrated pancreatogram is almost always abnormal in patients with pancreatic carcinoma. Pancreatic carcinoma in the setting of normal pancreatogram was found on ERCP in four out of the 154 patients studied in the period between January 1993 and December 1995. These results suggest that pancreatic carcinoma in the setting of normal pancreatogram results from an overlooked visualization of the entire pancreaticobiliary systems. This study strongly emphasizes the importance of opacifying both the major and the accessory pancreatic duct systems.
延伸閱讀
- S.P.Ho, P., & C.Y.Yu (1980). 原發胰臟癌血管檢查之評估. 中華放射線醫學雜誌, 5(2), 142-150. https://www.airitilibrary.com/Article/Detail?DocID=10188940-198006-201808090007-201808090007-142-150
- 林肇堂、王德宏（1986）。慢性胰臟炎之胰臟造影像－國際定義。當代醫學，(154)，641-642。https://doi.org/10.29941/MT.198608.0010
- 蘇友吉（1977）。動脈血管造像診斷胰臟癌。中華放射線醫學雜誌，2(3)，193-200。https://www.airitilibrary.com/Article/Detail?DocID=10188940-197709-201708310010-201708310010-193-200
- Tsai, M. R., Kuo, S. J., Yeh, K. T., & Yang, A. D. (1997). 良性胰臟神經鞘瘤－一病例報告. 中華民國消化系醫學雜誌, 14(4), 338-343. https://doi.org/10.6557/GJTb.199712_14(4).0004
- 林肇堂（1993）。胰臟疾病之影像檢查與處置。當代醫學，(242)，969-971。https://doi.org/10.29941/MT.199312.0006