Impact of Endoscopic Ultrasonography on Diagnosis of Pancreatic Cancer

Overview

Journal J Gastroenterol

Specialty Gastroenterology

Date 2018 Nov 9

PMID 30406288

Citations 109

Authors

Masayuki Kitano

Takeichi Yoshida

Masahiro Itonaga

Takashi Tamura

Keiichi Hatamaru

Yasunobu Yamashita

Affiliations

Soon will be listed here.

Abstract

Accumulated evidence has revealed that endoscopic ultrasonography (EUS) has had a great impact on the clinical evaluation of pancreatic cancers. EUS can provide high-resolution images of the pancreas with a quality regarded as far surpassing that achieved on transabdominal ultrasound (US), computed tomography (CT), or magnetic resonance imaging (MRI). EUS is particularly useful for the detection of small pancreatic lesions, while EUS and its related techniques such as contrast-enhanced EUS (CE-EUS), EUS elastography, and EUS-guided fine needle aspiration (EUS-FNA) are also useful in the differential diagnosis of solid or cystic pancreatic lesions and the staging (T-staging, N-staging, and M-staging) of pancreatic cancers. In the diagnosis of pancreatic lesions, CE-EUS and EUS elastography play a complementary role to conventional EUS. When sampling is performed using EUS-FNA, CE-EUS and EUS elastography provide information on the target lesions. Thus, conventional EUS, CE-EUS, EUS elastography, and EUS-FNA are essential in the clinical investigation of pancreatic cancer.

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