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Suprapancreatic and periportal lymph nodes are normally larger than 1 cm by laparoscopic ultrasound evaluation.

机译:通过腹腔镜超声评估,胰腺上和门周围淋巴结通常大于1 cm。

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BACKGROUND: Laparoscopic and endoscopic ultrasound is used to assess resectability of gastrointestinal malignancies. Lymph node size greater than 1 cm is a criterion used to identify suspicious nodes. We define size and echo characteristics of suprapancreatic and periportal nodes to determine if this criterion is reliable for suprapancreatic and periportal lymph nodes. METHODS: A prospective study of 21 patients with nonacute gallbladder disease was performed. Each underwent laparoscopic cholecystectomy with intraoperative ultrasound. The suprapancreatic and periportal nodes were evaluated in a transverse and longitudinal axis. Length and width measurements were taken in both orientations. Length-to-width ratios were calculated. Shape and echo textures were characterized. RESULTS: The mean size of both nodes was greater than 1 cm in the transverse and longitudinal orientation. Two nodes were "round." Remaining nodes were "oblong." All nodes had a hyperechoic center with a hypoechoic rim. CONCLUSION: In suprapancreatic and periportal lymph nodes, size greater than 1 cm should not be used as criterion for malignancy.
机译:背景:腹腔镜和内窥镜超声被用于评估胃肠道恶性肿瘤的可切除性。淋巴结大小大于1厘米是用于识别可疑淋巴结的标准。我们定义了胰腺上和门静脉淋巴结的大小和回声特征,以确定该标准对于胰腺上和门静脉淋巴结是否可靠。方法:对21例非急性胆囊疾病患者进行了一项前瞻性研究。每例均接受术中超声腹腔镜胆囊切除术。在横轴和纵轴上评估胰上和门周围的结节。在两个方向上进行长度和宽度测量。计算出长宽比。表征了形状和回声纹理。结果:两个结节的横向和纵向平均大小均大于1 cm。两个节点是“圆形”的。其余节点为“长方形”。所有结节均具有高回声中心和低回声边缘。结论:在胰腺上和门静脉淋巴结中,大于1 cm的大小不应作为恶性标准。

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