Overlooked risk for needle tract seeding following endoscopic ultrasound-guided minimally invasive tissue acquisition
Autor: | Tie-Li Peng, Zhi-Chao Yu, Ben-Hua Wu, De-Feng Li, Li-Sheng Wang, Feng Xiong, Jun Yao, Cheng Wei, Ruoyu Gao, Xin-Ying Shen, Ming-Han Luo |
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Rok vydání: | 2020 |
Předmět: |
Endoscopic ultrasound
Image-Guided Biopsy medicine.medical_specialty Needle tract seeding Computed tomography Endosonography 03 medical and health sciences 0302 clinical medicine Gastrointestinal tract Histological diagnosis Endoscopic ultrasound-guided fine-needle aspiration Biopsy Endoscopic ultrasound-guided fine-needle biopsy Medicine Humans Needle Tract Seeding Endoscopic Ultrasound-Guided Fine Needle Aspiration medicine.diagnostic_test business.industry Gastroenterology Minireviews General Medicine digestive system diseases Tissue acquisition Needles 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Radiology business Complication |
Zdroj: | World Journal of Gastroenterology |
ISSN: | 2219-2840 |
Popis: | 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. |
Databáze: | OpenAIRE |
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