問題詳情

176. 一70歲男性病人,主訴一個月的無痛性黃疸合併體重減輕4至5公斤。顯影注射的電腦斷層CT掃描,發現胰臟頭部(head of pancreas)有一疑似腫塊且合併膽管擴張。下列何者是為此病人確診是否為胰臟癌的最佳診斷方式?
(A) CT-guided percutaneous needle biopsy
(B) Endoscopic ultrasound (EUS)-guided needle biopsy
(C) Endoscopic retrograde cholangiopancreatography (ERCP) with pancreatic juice sampling forcytopathology
(D) FDG-PET imaging
(E) Serum CA 19-9

參考答案

答案:B
難度:適中0.538
書單:沒有書單,新增

用户評論

.】評論

Using a scope to create ultrasound pictures of your pancreas. An endoscopic ultrasound (EUS) uses an ultrasound device to make images of your pancreas from inside your abdomen. The device is passed through a thin, flexible tube (endoscope) down your esophagus and into your stomach in order to obtain the images.Removing a tissue sample for testing (biopsy). A biopsy is a procedure to remove a small sample of tissue for examination under a microscope. Most often the tissue is collected during EUS by passing special tools through the endoscope. Less often, a sample of tissue is collected from the pancreas by inserting a needle through your skin and into your pancreas (fine-needle aspiration).