Case Series Review of the Safety and Efficacy of Endoscopic Ultrasound-Guided Splenic Mass Core Biopsy

Saab, Sammy; Challita, Youssef; Holloman, David; Hathaway, Kelli; Kahaleh, Michel; Nieto, José

doi:10.5946/ce.2017.174

Cited by 3 publications

(3 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…EUS-guided splenic biopsy is an emerging modality for tissue acquisition. 8 Peripheral lesion away from hilum will be targeted in image-guided biopsy with some intervening normal splenic tissue to minimize bleeding risk 9 . EUS is better in inaccessible splenic lesions that are located closely to hilum.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Ultrasound-Guided Transgastric Fine Needle Aspiration of Splenic Metastasis

Balekuduru

Kapali

Kurella

et al. 2020

Journal of Digestive Endoscopy

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Endoscopic Ultrasound-Guided Transgastric Fine Needle Aspiration of Splenic Metastasis

Balekuduru

Kapali

Kurella

et al. 2020

Journal of Digestive Endoscopy

View full text Add to dashboard Cite

show abstract

“…Endoscopic US-guided sampling has been suggested as an alternative to percutaneous image-guided biopsy because of its advantages of a shorter and safer needle path to some focal lesions and better access in cases of lung emphysema Jenssen et al 2016aJenssen et al , 2016b. Experience is limited to small cohorts of patients, with no major complications reported so far (Fritscher-Ravens et al 2003;Rana et al 2017;Saab et al 2018;Mosquera-Klinger et al 2020).…”

Section: Image-guided Biopsymentioning

confidence: 99%

WFUMB Position Paper—Incidental Findings, How to Manage: Spleen

Trenker

Görg

Freeman

et al. 2021

Ultrasound in Medicine & Biology

View full text Add to dashboard Cite

The World Federation for Ultrasound in Medicine and Biology (WFUMB) is addressing the issue of incidental findings (IFs) with a series of publications entitled "Incidental Imaging Findings-The Role of Medical Ultrasound." IFs are less commonly encountered in the spleen than in many other abdominal organs but remain a frequent dilemma in clinical practice. A histological diagnosis is rarely necessary for patient management. Many IFs, such as secondary spleens and splenic cysts, are harmless and do not require any further investigation. The diagnosis of many other focal splenic lesions is, however, often problematic. The following overview is intended to illustrate a variety of incidentally detected spleen pathologies such as size variants, shape variants, secondary spleens, focal splenic lesions and splenic calcifications. It should aid the examiner in establishing the diagnosis. Moreover, it should help the ultrasound practitioner decide which pathologies need no further investigation, those requiring interval imaging and cases in which immediate further diagnostic procedures are required.In patients with splenomegaly (>13 £ 6 cm), an imaging, clinical and laboratory evaluation is usually required to determine the underlying cause.Most congenital variants of the spleen, and accessory spleens, have characteristic ultrasound appearances and do not require further evaluation or follow-up.The use of ultrasound contrast microbubbles (contrast-enhanced ultrasound) is of particular value in ultrasound imaging of the spleen when an indeterminate incidental finding is encountered.Splenosis can be confidently diagnosed with contrast-enhanced ultrasound and usually requires no additional imaging or follow-up.The cause of an inhomogeneous splenic parenchyma must be clarified, especially to exclude sarcoidosis or lymphomatous infiltration. Incidental indeterminate focal splenic lesions (with the exception of simple cysts) are often best managed by an interval follow-up examination (initially after 3 months) unless there clearly malignant clinical or sonographic features.For splenic calcifications, including the "starry sky" spleen, no follow-up is necessary.

show abstract

“…Primary splenic malignant lymphoma is very rare, and few reports have examined the diagnostic utility of endoscopic ultrasound-guided fine-needle biopsy (EUS-FNB) for this disease. [1][2][3] Here we report an extremely rare case of hepatosplenic T-cell lymphoma (HSTCL). Although HSTCL has been previously documented in patients with inflammatory bowel disease, 4,5 this is the first report of it being diagnosed by splenic biopsy using EUS-FNB.…”

mentioning

confidence: 99%

Hepatosplenic T-Cell Lymphoma Diagnosed by Endoscopic Ultrasound-Guided Fine-Needle Biopsy

et al. 2020

View full text Add to dashboard Cite

Case Series Review of the Safety and Efficacy of Endoscopic Ultrasound-Guided Splenic Mass Core Biopsy

Cited by 3 publications

References 10 publications

Endoscopic Ultrasound-Guided Transgastric Fine Needle Aspiration of Splenic Metastasis

Endoscopic Ultrasound-Guided Transgastric Fine Needle Aspiration of Splenic Metastasis

WFUMB Position Paper—Incidental Findings, How to Manage: Spleen

Hepatosplenic T-Cell Lymphoma Diagnosed by Endoscopic Ultrasound-Guided Fine-Needle Biopsy

Contact Info

Product

Resources

About