胃と腸44巻12号

2009年11月発行

今月の主題 消化管癌の化学・放射線療法の効果判定と問題点

主題研究

化学・放射線療法後のリンパ節に対するEUS-FNAによる効果判定

著者： 安田一朗¹ 小野木章人¹ 中島賢憲¹ 土井晋平¹ 井深貴士¹ 岩下拓司¹ 荒木寛司¹ 森脇久隆¹ 廣瀬善信² 高見剛²

所属機関： ¹岐阜大学医学部附属病院第一内科 ²岐阜大学医学部附属病院病理部

ページ範囲：P.1908 - P.1914

文献概要

要旨　化学・放射線療法後のリンパ節病変に対するEUS-FNAの診断能について検討した．対象症例は16例，内訳はリンパ腫3例，転移性リンパ節13例（肺癌10例，胃癌2例，大腸癌1例）で，リンパ節の存在部位は，縦隔13例，腹腔内3例であった．EUS-FNAによる病理検体採取は全例に可能であり，その診断能は，正診率88％，感度82％，NPV71％であった．EUS-FNAの診断能は高く，化学・放射線療法後の治療方針を決定するうえで有用な検査手技と考えられる．

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