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3 "Endoscopic ultrasound-guided fine-needle biopsy"
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Original Article
A multicenter comparative study of endoscopic ultrasound-guided fine-needle biopsy using a Franseen needle versus conventional endoscopic ultrasound-guided fine-needle aspiration to evaluate microsatellite instability in patients with unresectable pancreatic cancer
Tadayuki Takagi, Mitsuru Sugimoto, Hidemichi Imamura, Yosuke Takahata, Yuki Nakajima, Rei Suzuki, Naoki Konno, Hiroyuki Asama, Yuki Sato, Hiroki Irie, Jun Nakamura, Mika Takasumi, Minami Hashimoto, Tsunetaka Kato, Ryoichiro Kobashi, Yuko Hashimoto, Goro Shibukawa, Shigeru Marubashi, Takuto Hikichi, Hiromasa Ohira
Clin Endosc 2023;56(1):107-113.   Published online January 16, 2023
DOI: https://doi.org/10.5946/ce.2022.019
AbstractAbstract PDFPubReaderePub
Background
/Aims: Immune checkpoint blockade has recently been reported to be effective in treating microsatellite instability (MSI)-high tumors. Therefore, sufficient sampling of histological specimens is necessary in cases of unresectable pancreatic cancer (UR-PC). This multicenter study investigated the efficacy of endoscopic ultrasound-guided fine-needle biopsy (EUS-FNB) using a Franseen needle for MSI evaluation in patients with UR-PC.
Methods
A total of 89 patients with UR-PC who underwent endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) or EUS-FNB using 22-G needles at three hospitals in Japan (2018–2021) were enrolled. Fifty-six of these patients (FNB 23 and FNA 33) were followed up or evaluated for MSI. Patient characteristics, UR-PC data, and procedural outcomes were compared between patients who underwent EUS-FNB and those who underwent EUS-FNA.
Results
No significant difference in terms of sufficient tissue acquisition for histology was observed between patients who underwent EUS-FNB and those who underwent EUS-FNA. MSI evaluation was possible significantly more with tissue samples obtained using EUS-FNB than with tissue samples obtained using EUS-FNA (82.6% [19/23] vs. 45.5% [15/33], respectively; p<0.01). In the multivariate analysis, EUS-FNB was the only significant factor influencing the possibility of MSI evaluation.
Conclusions
EUS-FNB using a Franseen needle is desirable for ensuring sufficient tissue acquisition for MSI evaluation.

Citations

Citations to this article as recorded by  
  • Oil blotting paper for formalin fixation increases endoscopic ultrasound‐guided tissue acquisition‐collected sample volumes on glass slides
    Takuo Yamai, Kenji Ikezawa, Yusuke Seiki, Ko Watsuji, Yasuharu Kawamoto, Takeru Hirao, Kazuma Daiku, Shingo Maeda, Makiko Urabe, Yugo Kai, Ryoji Takada, Kaori Mukai, Tasuku Nakabori, Hiroyuki Uehara, Sayoko Tsuzaki, Ayumi Ryu, Satoshi Tanada, Shigenori Na
    Cancer Medicine.2024;[Epub]     CrossRef
  • Lymphadenopathy Tissue Sampling by EUS-Guided Fine-Needle Biopsy Contributes to Meeting the Conditions for Genomic Profiling
    Mitsuru Sugimoto, Tadayuki Takagi, Rei Suzuki, Naoki Konno, Hiroyuki Asama, Yuki Sato, Hiroki Irie, Jun Nakamura, Mika Takasumi, Minami Hashimoto, Tsunetaka Kato, Yuko Hashimoto, Takuto Hikichi, Hiromasa Ohira
    Journal of Clinical Gastroenterology.2024;[Epub]     CrossRef
  • MSI-H Detection by ddPCR in Endoscopic Ultrasound Fine Needle Biopsy (EUS-FNB) from Pancreatic Ductal Adenocarcinoma
    Maria Assunta Piano, Elisa Boldrin, Lidia Moserle, Nicoletta Salerno, Dalila Fanelli, Giulia Peserico, Maria Raffaella Biasin, Giovanna Magni, Veronica Varano, Giorgia Zalgelli, Vasileios Mourmouras, Antonio Rosato, Antonio Scapinello, Alberto Fantin, Mat
    International Journal of Molecular Sciences.2024; 25(20): 11090.     CrossRef
  • 2,594 View
  • 145 Download
  • 2 Web of Science
  • 3 Crossref
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Case Report
An Unusual Presentation of a Solid Pseudopapillary Tumor of the Pancreas Mimicking Adenocarcinoma
Hyung Ku Chon, Keum Ha Choi, Tae Hyeon Kim
Clin Endosc 2020;53(5):615-619.   Published online November 22, 2019
DOI: https://doi.org/10.5946/ce.2019.158
AbstractAbstract PDFPubReaderePub
Solid pseudopapillary tumors of the pancreas are rare and typically occur in young women. Compared with pancreatic adenocarcinoma, solid pseudopapillary tumors are characterized by notable indolent biological behavior associated with a favorable prognosis. Despite their large size, these tumors rarely metastasize. Even in cases of hepatic metastasis, most lesions are usually solitary in distribution and are amenable to resection. We report a case of a 55-year-old man with a small solid pseudopapillary tumor (≤3-cm diameter) mimicking a pancreatic adenocarcinoma, with multiple hepatic metastases. The diagnosis was confirmed by endoscopic ultrasound-guided fine-needle biopsy using a 22-G core needle. Unfortunately, rapid tumor progression led to patient mortality 5 months after diagnosis. To our knowledge, this is the first case report that describes a small solid pseudopapillary tumor of the pancreas with multiple hepatic metastasis and poor prognosis in a patient who was diagnosed with this condition at the time of initial diagnosis.

Citations

Citations to this article as recorded by  
  • Rare case of solid pseudopapillary neoplasm of the pancreas with liver and splenic metastasis in a 19-year-old girl
    Chi-Chi Chen, Ting-Yuan Feng, Hsiang-Chun Jan, Shaw-Jiun Chou, Tzu-Hung Chen, Sheng-Chun Wang
    International Journal of Surgery Case Reports.2024; 120: 109867.     CrossRef
  • Large Solid Pseudopapillary Tumor Pancreas with Extensive Splenoportal Thrombosis and Malignant Transformation—A Rare Entity
    Thara Pratap, Dhanya Jacob, Abhishek Yadav, Muhammed Jasim Abdul Jalal, Iona Leekha Mathew
    Journal of Gastrointestinal and Abdominal Radiology.2022; 05(03): 196.     CrossRef
  • Aggressive solid pseudopapillary tumor of the pancreas. (Literature review and case report)
    D.V. Sidorov, N.A. Grishin, M.V. Lozhkin, N.N. Volchenko, Kh.S. Kosumova, A.A. Troitskii, I.V. Stepanyuk, S.A. Bykasov, R.I. Moshurov
    Onkologiya. Zhurnal imeni P.A.Gertsena.2022; 11(2): 52.     CrossRef
  • 4,526 View
  • 144 Download
  • 3 Web of Science
  • 3 Crossref
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Review
Fine-Needle Biopsy: Should This Be the First Choice in Endoscopic Ultrasound-Guided Tissue Acquisition?
Eun Young Kim
Clin Endosc 2014;47(5):425-428.   Published online September 30, 2014
DOI: https://doi.org/10.5946/ce.2014.47.5.425
AbstractAbstract PDFPubReaderePub

Endoscopic ultrasound (EUS)-guided tissue acquisition is an indispensable technique for the diagnosis of many diseases of the gastrointestinal tract and adjacent structures. EUS-guided fine-needle aspiration (EUS-FNA) is known for its high accuracy and low complication rate. However, the outcome of EUS-FNA highly depends on several factors such as the location and characteristics of the lesion, endosonographer's experience, technique of sampling and sample preparation, type and size of the needle used, and presence of a cytopathologist for rapid on-site examination. EUS-guided fine-needle biopsy is useful to obtain core tissue samples with relatively fewer passes. Aspiration of core tissue with preserved architecture is beneficial for the diagnosis of certain diseases and the performance of ancillary testing such as tumor molecular profiling. Issues related to needle size, type, and their acquired samples for cytologic and histologic evaluation are discussed here.

Citations

Citations to this article as recorded by  
  • Primary Pancreatic Natural Killer/T-Cell Lymphoma
    Hyung Ku Chon, Keum Ha Choi, Tae Hyeon Kim
    Pancreas.2020; 49(3): e21.     CrossRef
  • Which Needle Needs to Be Chosen for Better Outcome of Endoscopic Ultrasound-Guided Tissue Acquisition?
    Dong Wook Lee, Eun Young Kim
    Gut and Liver.2019; 13(3): 223.     CrossRef
  • Successful creation of pancreatic cancer organoids by means of EUS-guided fine-needle biopsy sampling for personalized cancer treatment
    Herve Tiriac, Juan Carlos Bucobo, Demetrios Tzimas, Suman Grewel, Joseph F. Lacomb, Leahana M. Rowehl, Satish Nagula, Maoxin Wu, Joseph Kim, Aaron Sasson, Shivakumar Vignesh, Laura Martello, Maria Munoz-Sagastibelza, Jonathan Somma, David A. Tuveson, Elle
    Gastrointestinal Endoscopy.2018; 87(6): 1474.     CrossRef
  • Performance of a new histology needle for EUS-guided fine needle biopsy: A retrospective multicenter study
    Fabia Attili, Mihai Rimbaş, Alberto Fantin, Carlo Fabbri, Silvia Carrara, Luca Di Maurizio, Giulia Gibiino, Alessandro Repici, Frediano Inzani, Antonio Gasbarrini, Guido Costamagna, Alberto Larghi
    Digestive and Liver Disease.2018; 50(5): 469.     CrossRef
  • Esophagus lyomyoma diagnosed with convex endobronchial ultrasound (EBUS)
    Paul Zarogoulidis, Stella Laskou, Athanasios Katsaounis, Efstathios Pavlidis, Dimitrios Giannakidis, Charilaos Koulouris, Stylianos Mantalovas, Ioanna Kougioumtzi, Nikolaos Katsikogiannis, Fotis Konstantinou, Wolfgang Hohenforst-Schmidt, Haidong Huang, Ch
    Respiratory Medicine Case Reports.2018; 24: 95.     CrossRef
  • Is Endoscopic Ultrasonography Adequate for the Diagnosis of Gastric Schwannomas?
    Eun Jeong Gong, Kee Don Choi
    Clinical Endoscopy.2016; 49(6): 498.     CrossRef
  • Rapid On-Site Evaluation Does Not Improve Endoscopic Ultrasound-Guided Fine Needle Aspiration Adequacy in Pancreatic Masses: A Meta-Analysis and Systematic Review
    Fanyang Kong, Jianwei Zhu, Xiangyu Kong, Tao Sun, Xuan Deng, Yiqi Du, Zhaoshen Li, Giancarlo Troncone
    PLOS ONE.2016; 11(9): e0163056.     CrossRef
  • EUS-FNA diagnosis of a rare case of esophageal teratoma
    Benedetto Mangiavillano, Antonella De Ceglie, Paolo Quilici, Corrado Ruggeri
    Endoscopic Ultrasound.2016; 5(4): 279.     CrossRef
  • Which Needle Is Better for Diagnosing Subepithelial Lesions?
    Eun Young Kim
    Clinical Endoscopy.2015; 48(2): 91.     CrossRef
  • International Digestive Endoscopy Network 2014: Turnpike to the Future
    Eun Young Kim, Kwang An Kwon, Il Ju Choi, Ji Kon Ryu, Ki Baik Hahm
    Clinical Endoscopy.2014; 47(5): 371.     CrossRef
  • 5,660 View
  • 72 Download
  • 12 Web of Science
  • 10 Crossref
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