Online Journal
電子ジャーナル
IF値: 0.677(2017年)→0.966(2018年)

英文誌(2004-)

Journal of Medical Ultrasonics

一度このページでloginされますと,Springerサイト
にて英文誌のFull textを閲覧することができます.

cover

1987 - Vol.14

Vol.14 No.01

Original Article(原著)

(0030 - 0035)

超音波スクリーニング法における膵癌診断能およびその超音波像の検討

Ultrasonographic Evaluation of Pancreatic Cancer in Screening Examination

冨田 周介1, 小森 英司1, 藤堂 彰男1, 伊吹 康良1, 工藤 正俊1, 大谷 雅美2, 宇井 一世2, 藤本 敏明2, 森本 義人2

Syusuke TOMITA1, Eiji KOMORI1, Akio TODO1, Yasura IBUKI1, Masatoshi KUDO1, Masami OTANI2, Kazuyo UI2, Toshiaki FUJIMOTO2, Yoshito MORIMOTO2

1神戸市立中央市民病院消化器内科, 2神戸市立中央市民病院腹部超音波室

1Kobe Municipal Central Hospital, Department of Gastroenterology, 2Kobe Municipal Central Hospital, Ultrasonographic room

キーワード : Pancreatic cancer, Ultrasonography, Screening

Eighty patients diagnosed or suspected of pancreatic cancer by ultrasonography, and four patients with pancreatic cancer who were not detected by ultrasonography, were discussed. Fifty six of sixty patients with pancreatic cancer (93.3%) were first detected. Four patients (6.7%) were missed. In non-icteric patients, twenty nine of thirty three patients (87.9%) were detected by ultrasonography. Twenty four of eighty patients (30%) were false positive cases.
In ultrasonography, abnormal echoic area of the pancreas with distended pancreatic duct and total enlargement with abnormal echoic level compared with surrounding pancreatic tissue were specific finding of pancreatic cancer. For detection of early pancreatic cancer, important finding were not only distended pancreatic duct, but also tiny abnormal echoic area when neighter the distended pancreatic nor bile ducts. In a few patients with gastric or uterine cancer, the distended pancreatic and bile ducts were visualized due to lymphnodes metastases invading to the pancreas.