Alternativen histologischer Materialgewinnung – Wann und wie ist die histologische Sicherung mittels Ultraschall (US), Computertomografie (CT) oder Endosonografie (EUS) sinnvoll?

Möller, Kathleen; Dietrich, Christoph F.; Faiss, Siegbert; Mutze, Sven; Goelz, Leonie

doi:10.1055/a-1482-9448

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Eus-guided Sampling1

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2023

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“…EUS-guided sampling will influence the patient's subsequent course of management if it is to confirm metastasis when there has been remission of a previous tumor. The risks of EUS-guided sampling are low [91][92][93][94][95].…”

Section: Eus-guided Samplingmentioning

confidence: 99%

Comments on and Illustrations of the EFSUMB CEUS Guidelines: Transabdominal and Endoscopic Ultrasound Features of Intrapancreatic Metastases and the Role of Multiparametric Imaging and EUS-Guided Sampling in Rare Pancreatic Tumors

Möller

Jenssen

Braden

et al. 2023

Cancers

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A definite pathologic diagnosis of intrapancreatic metastasis is crucial for the management decision, i.e., curative or palliative surgery versus chemotherapy or conservative/palliative therapy. This review focuses on the appearance of intrapancreatic metastases on native and contrast-enhanced transabdominal ultrasound and endoscopic ultrasound. Differences and similarities in relation to the primary tumor, and the differential diagnosis from pancreatic carcinoma and neuroendocrine neoplasms are described. The frequency of intrapancreatic metastases in autopsy studies and surgical resection studies will be discussed. Further emphasis is placed on endoscopic ultrasound-guided sampling to confirm the diagnosis.

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