臨床外科70巻4号

2015年04月発行

特集 膵・消化管神経内分泌腫瘍（GEP-NET）のアップデート

GEP-NETの画像診断のコツと生検の意義

著者： 肱岡範¹ 原和生¹ 水野伸匡¹ 今岡大¹ 與儀竜治¹ 堤英治¹ 佐藤高光¹ 藤吉俊尚¹ 吉田司¹ 奥野のぞみ¹ 稗田信弘¹ 田近正洋² 田中努² 石原誠² 清水泰博³ 千田嘉毅³ 夏目誠治³ 細田和貴⁴ 谷田部恭⁴ 丹羽康正² 山雄健次¹

所属機関： ¹愛知県がんセンター中央病院消化器内科部 ²愛知県がんセンター中央病院内視鏡部 ³愛知県がんセンター中央病院消化器外科部 ⁴愛知県がんセンター中央病院遺伝子病理診断部

ページ範囲：P.397 - P.406

【ポイント】
◆消化管NETの治療方針の決定には，腫瘍径および深達度の正確な評価が必須である．
◆膵NENの画像は非常に多岐にわたり，非典型例も多く存在する．特に乏血性NENには注意が必要である．
◆膵NENのEUS-FNAは，質的診断と悪性度診断が求められる．特にNECの診断には分化度を加味し注意深く行う必要がある．

参考文献

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