Endoscopic Ultrasound-Guided Random Omental Fine Needle Aspiration: A Novel Technique for the Diagnosis of Peritoneal Carcinomatosis

Siddappa, Pradeep K.; Jain, Neha; Agarwal, Naveen K.; Jain, Monika; Lamba, Gurwant

doi:10.5946/ce.2019.175

Cited by 1 publication

(1 citation statement)

References 14 publications

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“…From another prospective study by Singh P et al, EUS also showed a better sensitivity compared to that of CT in the diagnosis of small liver lesions (40% vs. 19%; p = 0.008) [ 27 ]. EUS has a better accuracy in detecting minimal ascites or omental thickening in pancreatic carcinoma, and sampling can be performed withing the same session for the detection of metastases to avoid futile surgeries [ 28 , 29 ]. Similarly, a diagnosis of perivascular cuffing suggestive of extravascular migratory metastases (EVMMs) can be made via EUS.…”

Section: Role Of Eus In the Staging Of Tumorsmentioning

confidence: 99%

Role of Endoscopic Ultrasound in Diagnosis of Pancreatic Ductal Adenocarcinoma

Chatterjee,

Shah

2023

Diagnostics

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Pancreatic ductal adenocarcinoma (PDAC) is the most common (90%) type of solid pancreatic neoplasm. Due to its late presentation and poor survival rate, early diagnosis and timely treatment is of utmost importance for better clinical outcomes. Endoscopic ultrasound provides high-resolution images of the pancreas and has excellent sensitivity in the diagnosis of even small (<2 cm) pancreatic lesions. Apart from imaging, it also has an advantage of tissue acquisition (EUS fine-needle aspiration, FNA; or fine-needle biopsy, FNB) for definitive diagnoses. EUS-guided tissue acquisition plays a crucial role in genomic and molecular studies, which in today’s era of personalized medicine, are likely to become important components of PDAC management. With the use of better needle designs and technical advancements, EUS has now become an indispensable tool in the management of PDAC. Lastly, artificial intelligence for the detection of pancreatic lesions and newer automated needles for tissue acquisition will obviate observer dependency in the near future, resulting in the wider dissemination and adoption of this technology for improved outcomes in patients with PDAC.

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Section: Role Of Eus In the Staging Of Tumorsmentioning

confidence: 99%