1、EUS診斷診斷EUS穿刺活檢穿刺活檢（EUS-FNA）EUS進入介進入介入技術時代入技術時代診斷評價診斷評價 Diagnostic evaluationDiagnostic evaluation陳陳XXXX，男，男，6161中上腹饑餓痛中上腹饑餓痛王王XX，男，男，64y中上腹痛中上腹痛腫大淋巴結腫大淋巴結腹水腹水黃黃XXXX，男，男，6464結構破壞，增厚；結構破壞，增厚；不規則低回聲；不規則低回聲；項項XXXX，男，男，6060胃壁彌漫性全層增厚胃壁彌漫性全層增厚第第4 4層低回聲帶中混有散在的強回聲斑點層低回聲帶中混有散在的強回聲斑點EUS stagingEUS stagingNo. A

2、uthor Year of No. ofType of Confirmatory publication patients study procedure 1 Grimm et al 1993 147 Prospective Surgery 2 Francois et al 1996 29 Consecutive Surgery 3 Schimizu et al 1994 125 Consecutive Surgery 4 Dittler et al 1993 254 Consecutive Surgery 5 Ziegler et al 1993 118 Prospective Surger

3、y 6 Botet et al 1991 50 Prospective Surgery 7 Xi et al 2003 35 Prospective Surgery 8 Caletti et al 1991 42 Prospective Surgery 9 Akahoshi et al 1989 74 Prospective Surgery 10 Tio et al 1989 72 Prospective Surgery 11 Massari et al 1996 99 Prospective Surgery 12 Saito et al 1991 110 Prospective Surger

4、y 13 Murata et al 1988 146 Prospective Surgery 14 Hunerbein et al 1996 19 Consecutive Surgery 15 Perng et al 1996 69 Consecutive Surgery 16 Tio et al 1989 75 Prospective Surgery 17 Tio et al 1986 36 Prospective Surgery 18 Shimoyama et al 2004 45 Consecutive Surgery 19 Willis et al 2000 116 Consecuti

5、ve Surgery 20 Rosch et al 1992 41 Consecutive Surgery 21 Javaid et al 2003 112 Consecutive Surgery 22 Potrc et al 2006 82 Prospective Surgery sensitivity specificity Pooled DOR T1 88.1% (84.5-91.1) 100.0% (99.7-100.0) 605.6 (296.8-1235.6) T2 82.3% (78.2-86.0) 95.6% (94.4-96.6) 108.6 (56.6-208.1) T3

6、89.7% (87.1-92.0) 94.7% (93.3-95.9) 144.4 (95.4-218.7) T4 99.2% (97.1-99.9) 96.7% (95.7-97.6) 507.8 (247.5-1042.1) N1 58.2% (53.5-62.8) 87.2% (84.4-89.7) 9.5 (5.3-16.9) N2 64.9% (60.8-68.8) 92.4% (89.9-94.4) 26.6 (13.9-50.7) EPM van Vliet et al,British Journal of Cancer 2007; 97: 868 876對對569569例食管和賁門癌患者研究例食管和賁門癌患者研究Lee et al. Gut 2005;54:15411545.良良性性惡惡性性章章XXXX，男，男，7575腹脹腹脹良性？良性？ 惡性？惡性？祝祝XXXX，女，女，5555腹脹腹脹周周XXXX，男，男，6565觸及腹塊觸及腹塊Martnez-Ares et al. Rev Esp Enferm Dig 2005; 97: 416