지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 591 - 596 (6page)
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초록· 키워드
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Background/Aims: Differentially diagnosing focal-type autoimmune pancreatitis (f-AIP) and pancreatic cancer (PC) is challenging. Contrast-enhanced harmonic endoscopic ultrasound (CEH-EUS) may provide information for differentiating pancreatic masses. In this study, we evaluated the usefulness of CEH-EUS in differentiating f-AIP from PC. Methods: Data were collected prospectively and analyzed on patients who underwent CEH-EUS between May 2014 and May 2015. Eighty consecutive patients were diagnosed with f-AIP or PC. PC and f-AIP were compared for enhancement intensity, contrast agent distribution, and internal vasculature. Results: The study group comprised 53 PC patients and 27 f-AIP patients (17 with type-1 AIP [15 definite and two probable], two with probable type-2 AIP, and eight with AIP, not otherwise specified). Hyper- to iso-enhancement in the arterial phase (f-AIP, 89% vs PC, 13%; p<0.05), homogeneous contrast agent distribution (f-AIP, 81% vs PC, 17%; p<0.05), and absent irregular internal vessels (f-AIP, 85% vs PC, 30%; p<0.05) were observed more frequently in the f-AIP group. The combination of CEH-EUS and enhancement intensity, absent irregular internal vessels improved the specificity (94%) in differentiating f-AIP from PC. Conclusions: CEH-EUS may be a useful noninvasive modality for differentially diagnosing f-AIP and PC. Combined CEH-EUS findings could improve the specificity of CEH-EUS in differentiating f-AIP from PC.
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등록된 정보가 없습니다.
참고문헌 (24)
참고문헌 신청
Moon SH / 2008 / Is a 2-week steroid trial after initial negative investigation for malignancy useful in differentiating autoimmune pancreatitis from pancreatic cancer? A prospective outcome study / Gut 57:1704~1712
Chari ST / 2006 / Diagnosis of autoimmune pancreatitis: the Mayo Clinic experience / Clin Gastroenterol Hepatol 4:1010~1016
Shimosegawa T / 2011 / International consensus diagnostic criteria for autoimmune pancreatitis: guidelines of the International Association of Pancreatology / Pancreas 40:352~358
Majumder S / 2016 / EUS-guided FNA for diagnosing autoimmune pancreatitis: does it enhance existing consensus criteria? / Gastrointest Endosc 84:805~807
Bang JY / 2013 / Objective assessment of an algorithmic approach to EUS-guided FNA and interventions / Gastrointest Endosc 77:739~744
Chari ST / 2006 / Diagnosis of autoimmune pancreatitis: the Mayo Clinic experience / Clin Gastroenterol Hepatol 4:1010~1016
Shimosegawa T / 2011 / International consensus diagnostic criteria for autoimmune pancreatitis: guidelines of the International Association of Pancreatology / Pancreas 40:352~358
Majumder S / 2016 / EUS-guided FNA for diagnosing autoimmune pancreatitis: does it enhance existing consensus criteria? / Gastrointest Endosc 84:805~807
Bang JY / 2013 / Objective assessment of an algorithmic approach to EUS-guided FNA and interventions / Gastrointest Endosc 77:739~744
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