Needle Tract Tumor Seeding Following Endoscopic Ultrasound–Guided Fine Needle Aspiration of Metastatic Squamous Cell Carcinoma

Goel, Anurag; Hon, Kenneth; Chong, A.

doi:10.1016/j.cgh.2017.04.024

Cited by 6 publications

(8 citation statements)

References 8 publications

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“…Peritoneal dissemination after EUS-FNA for intraductal papillary mucinous carcinoma was first reported in 2003 [ 59 ]. Since that time, 28 cases of NTS have been reported ( Table 2 ) [ 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 , 77 , 78 , 79 , 80 , 81 , 82 , 83 ].…”

Section: Types Of Complicationsmentioning

confidence: 99%

Complications of Endoscopic Ultrasound-Guided Fine Needle Aspiration: A Narrative Review

et al. 2020

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Considerable progress has been made recently in the use of endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) to diagnose intra-luminal gastrointestinal lesions and extra-luminal lesions near the gastrointestinal tract. Numerous reports have indicated that EUS-FNA has high diagnostic performance and safety, which has led to the routine use of EUS-FNA and an increasing number of cases. Thus, while EUS-FNA has a low rate of complications, endoscopists may encounter these complications as the number of cases increases. Infrequent reports have also described life-threatening complications. Therefore, endoscopists should possess a comprehensive understanding of the complications of EUS-FNA, which include hemorrhage, perforation, infection, and acute pancreatitis, as well as their management. This review examines the available evidence regarding the complications associated with EUS-FNA, and the findings will be useful for ensuring that endoscopists perform EUS-FNA safely and appropriately.

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Section: Types Of Complicationsmentioning

confidence: 99%

Complications of Endoscopic Ultrasound-Guided Fine Needle Aspiration: A Narrative Review

et al. 2020

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“…Since the first described case of EUS-FNA-induced needle tract seeding in a patient with intraductal papillary mucinous neoplasm in 2003[ 45 ], 33 patients with needle tract seeding following EUS-FNA or EUS-FNB have been reported up to January 2020. Of these cases, 27 were found in pancreatic cancer patients after EUS-FNA[ 19 , 20 , 25 , 27 , 28 , 36 , 40 , 46 - 58 ], one in a pancreatic cancer patient after EUS-FNB[ 34 ] (Table 1 ), and five in patients with other intra-abdominal and intrathoracic tumors after EUS-FNA[ 59 - 63 ] (Table 2 ). A total of 29 cases with pancreatic body or pancreatic tail cancer had needle tract seeding caused by diagnostic FNA or FNB.…”

Section: Summary Of Cases On Needle Tract Seedingmentioning

confidence: 99%

Overlooked risk for needle tract seeding following endoscopic ultrasound-guided minimally invasive tissue acquisition

Gao

Shen

et al. 2020

WJG

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Endoscopic ultrasound-guided minimally invasive tissue acquisition can be performed by two approaches as follows: Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) and endoscopic ultrasound-guided fine-needle biopsy (EUS-FNB). These have been evolved into leading approaches and widely used for the histological diagnosis of tumors in the gastrointestinal tract and adjacent organs. However, the role of EUS-FNA and EUS-FNB in disease diagnosis and evaluation remains controversial. Although the incidence of surgery-associated complications remains low, the consequences of needle tract seeding can be serious or even life-threatening. Recently, increasing case reports of needle tract seeding are emerging, especially caused by EUS-FNA. This complication needs serious consideration. In the present work, we integrated these case reports and the related literature, and summarized the relevant cases and technical characteristics of needle tract seeding caused by EUS-FNA and EUS-FNB. Collectively, our findings provided valuable insights into the prevention and reduction of such serious complication.

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“…Although a few reports have addressed the adverse events of EUS‐FNA, reinvestigation is required because several new devices to perform EUS‐FNA have been recently developed. Furthermore, the cases of needle tract seeding subsequent to EUS‐FNA have been reported, 3,21–42 and although this adverse event may preoperatively occur, the specific incidence remains unknown. This study aims to clarify the current status of patients who experienced adverse events related to the EUS‐FNA procedure for histopathologic diagnoses.…”

Section: Introductionmentioning

confidence: 99%

Adverse events of endoscopic ultrasound‐guided fine‐needle aspiration for histologic diagnosis in Japanese tertiary centers: Multicenter retrospective study

Kanno

Yasuda

Irisawa

et al. 2021

Digestive Endoscopy

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Background and Aims Endoscopic ultrasound‐guided fine‐needle aspiration (EUS‐FNA) is used for the histopathological diagnosis of any type of gastrointestinal disease. Few adverse events are experienced with this procedure; however, the actual rate of adverse events remains unclear. This study aimed to clarify the current status of cases that experienced adverse events related to the EUS‐FNA procedure used for histopathologic diagnoses. Methods A retrospective analysis of cases with EUS‐FNA‐related adverse events in Japanese tertiary centers was conducted by assessing the following clinical data: basic case information, FNA technique, type of procedural adverse events, and prognosis. Results Of the 13,566 EUS‐FNA cases overall, the total number of cases in which adverse events related to EUS‐FNA occurred was 234. The incidence of EUS‐FNA‐related adverse events was ~1.7%. Bleeding and pancreatitis cases accounted for ~49.1% and 26.5% of all adverse events, respectively. Bleeding was the most common adverse event with only seven cases requiring blood transfusion. In cases with neuroendocrine tumors, pancreatitis was the most frequent adverse event. Needle tract seeding because of EUS‐FNA was observed during the follow‐up period in only ~0.1% of cases with pancreatic cancer. There was no mortality because of adverse events caused by EUS‐FNA. Conclusions This study revealed that the adverse events‐related EUS‐FNA for histopathologic diagnoses were not severe conditions, and had low incidence.

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Needle Tract Tumor Seeding Following Endoscopic Ultrasound–Guided Fine Needle Aspiration of Metastatic Squamous Cell Carcinoma

Cited by 6 publications

References 8 publications

Complications of Endoscopic Ultrasound-Guided Fine Needle Aspiration: A Narrative Review

Complications of Endoscopic Ultrasound-Guided Fine Needle Aspiration: A Narrative Review

Overlooked risk for needle tract seeding following endoscopic ultrasound-guided minimally invasive tissue acquisition

Adverse events of endoscopic ultrasound‐guided fine‐needle aspiration for histologic diagnosis in Japanese tertiary centers: Multicenter retrospective study

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