Impact of EUS-guided FNA on management of gastric carcinoma
作者： Hazem Hassan , Peter Vilmann , Vijay Sharma
DOI: 10.1016/J.GIE.2009.10.044
关键词:
摘要: Background EUS is an integral part of the pretherapeutic evaluation program for patients with upper GI cancer. Objective To evaluate impact EUS-guided FNA on clinical management gastric Design The study included confirmed carcinoma who were referred to Department Surgical Gastroenterology, Gentofte Hospital, Copenhagen University, Copenhagen, Denmark, during a 6-year period (2001-2007). Setting underwent standard evaluation. If no signs incurability detected, offered and FNA. was performed when lymph nodes or lesions considered be distant metastases. A board surgeons asked after results obtained by revealed. Patients This involved 234 carcinoma. Intervention Main Outcome Measurements Number metastasis diagnosed FNA, avoidance unnecessary surgery. Results total 81 consecutive Ninety-nine targeted, 61 (62%) these found malignant. In 38 (42%) metastases As judged surgeons, changed plan in 34 (15%). Limitation positive diagnoses not surgically verified. Conclusion very important modality should integrated as routine procedure preoperative staging algorithm
giejournal.org
elsevier.com
sci-hub.se 参考文章(29)
T.L. Tio, P. Cohen, P.P. Coene, J. Udding, F.C.A. Den Hartog Jager, G.N.J. Tytgat, Endosonography and computed tomography of esophageal carcinoma. Preoperative classification compared to the new (1987) TNM system. Gastroenterology. ,vol. 96, pp. 1478- 1486 ,(1989) , 10.1016/0016-5085(89)90515-5
Maurits J. Wiersema, Michael L. Kochman, Harvey M. Cramer, Liang C. Tao, Lisa M. Wiersema, Endosonography-guided real-time fine-needle aspiration biopsy. Gastrointestinal Endoscopy. ,vol. 40, pp. 700- 707 ,(1994) , 10.1016/S0016-5107(94)70113-X
Thomas J. Savides, Sonali S. Master, EUS in rectal cancer Gastrointestinal Endoscopy. ,vol. 56, pp. S12- S18 ,(2002) , 10.1016/S0016-5107(02)70079-5
M. Wegener, R. J. Adamek, B. Wedmann, B. Pfaffenbach, Endosonographically guided fine-needle aspiration puncture of paraesophagogastric mass lesions: preliminary results. Endoscopy. ,vol. 26, pp. 586- 591 ,(1994) , 10.1055/S-2007-1009044
M. Wiersema, P. Vilmann, M. Giovannini, K. Chang, Prospective multicenter evaluation of eus guided fine needle aspiration biopsy (FNA): Diagnostic accuracy and complication assessment Gastrointestinal Endoscopy. ,vol. 43, pp. 432- ,(1996) , 10.1016/S0016-5107(96)80563-3
H. Grimm, K. F. Binmoeller, K. Hamper, J. Koch, D. Henne-Bruns, N. Soehendra, Endosonography for preoperative locoregional staging of esophageal and gastric cancer. Endoscopy. ,vol. 25, pp. 224- 230 ,(1993) , 10.1055/S-2007-1010297
V Vilgrain, D Mompoint, L Palazzo, Y Menu, B Gayet, P Ollier, H Nahum, F Fekete, Staging of esophageal carcinoma: comparison of results with endoscopic sonography and CT. American Journal of Roentgenology. ,vol. 155, pp. 277- 281 ,(1990) , 10.2214/AJR.155.2.2115251
Peter Vilmann, Grete Krag Jacobsen, Finn W. Henriksen, Sċren Hancke, Endoscopic ultrasonography with guided fine needle aspiration biopsy in pancreatic disease. Gastrointestinal Endoscopy. ,vol. 38, pp. 172- 173 ,(1992) , 10.1016/S0016-5107(92)70385-X
K. F. Binmoeller, H. C. Jabusch, H. Seifert, N. Soehendra, Endosonography-guided fine-needle biopsy of indurated pancreatic lesions using an automated biopsy device. Endoscopy. ,vol. 29, pp. 384- 388 ,(1997) , 10.1055/S-2007-1004220
Martin Hiele, Paul De Leyn, Piet Schurmans, Antoon Lerut, Steven Huys, Karel Geboes, Anne-Marie Gevers, Paul Rutgeerts, Relation between endoscopic ultrasound findings and outcome of patients with tumors of the esophagus or esophagogastric junction Gastrointestinal Endoscopy. ,vol. 45, pp. 381- 386 ,(1997) , 10.1016/S0016-5107(97)70148-2