Overlooked Risk for Needle Tract Seeding Following Endoscopic Ultrasound-guided Minimally Invasive Tissue Acquisition

Overview

Journal World J Gastroenterol

Publisher Baishideng Publishing Group

Specialty Gastroenterology

Date 2020 Nov 12

PMID 33177792

Citations 15

Authors

Ruo-Yu Gao

Ben-Hua Wu

Xin-Ying Shen

Tie-Li Peng

De-Feng Li

Cheng Wei

Zhi-Chao Yu

Ming-Han Luo

Feng Xiong

Li-Sheng Wang

Jun Yao

Affiliations

Soon will be listed here.

Abstract

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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References

Kita E, Yamaguchi T, Sudo K . A case of needle tract seeding after EUS-guided FNA in pancreatic cancer, detected by serial positron emission tomography/CT. Gastrointest Endosc. 2016; 84(5):869-870. DOI: 10.1016/j.gie.2016.01.060. View

Hirooka Y, Goto H, Itoh A, Hashimoto S, Niwa K, Ishikawa H . Case of intraductal papillary mucinous tumor in which endosonography-guided fine-needle aspiration biopsy caused dissemination. J Gastroenterol Hepatol. 2003; 18(11):1323-4. DOI: 10.1046/j.1440-1746.2003.03040.x. View

Micames C, Jowell P, White R, Paulson E, Nelson R, Morse M . Lower frequency of peritoneal carcinomatosis in patients with pancreatic cancer diagnosed by EUS-guided FNA vs. percutaneous FNA. Gastrointest Endosc. 2003; 58(5):690-5. DOI: 10.1016/s0016-5107(03)02009-1. View

Motoi F, Kosuge T, Ueno H, Yamaue H, Satoi S, Sho M . Randomized phase II/III trial of neoadjuvant chemotherapy with gemcitabine and S-1 versus upfront surgery for resectable pancreatic cancer (Prep-02/JSAP05). Jpn J Clin Oncol. 2019; 49(2):190-194. DOI: 10.1093/jjco/hyy190. View

Goel A, Hon K, Chong A . Needle Tract Tumor Seeding Following Endoscopic Ultrasound-Guided Fine Needle Aspiration of Metastatic Squamous Cell Carcinoma. Clin Gastroenterol Hepatol. 2017; 16(2):A27-A28. DOI: 10.1016/j.cgh.2017.04.024. View

Wang K, Ben Q, Jin Z, Du Y, Zou D, Liao Z . Assessment of morbidity and mortality associated with EUS-guided FNA: a systematic review. Gastrointest Endosc. 2011; 73(2):283-90. DOI: 10.1016/j.gie.2010.10.045. View

Yamaguchi H, Morisaka H, Sano K, Nagata K, Ryozawa S, Okamoto K . Seeding of a Tumor in the Gastric Wall after Endoscopic Ultrasound-guided Fine-needle Aspiration of Solid Pseudopapillary Neoplasm of the Pancreas. Intern Med. 2019; 59(6):779-782. PMC: 7118382. DOI: 10.2169/internalmedicine.3244-19. View

Iglesias-Garcia J, Poley J, Larghi A, Giovannini M, Petrone M, Abdulkader I . Feasibility and yield of a new EUS histology needle: results from a multicenter, pooled, cohort study. Gastrointest Endosc. 2011; 73(6):1189-96. DOI: 10.1016/j.gie.2011.01.053. View

Ende A, Sedarat A, Shah P, Jhala N, Fraker D, Drebin J . Risk factors for aggressive nonfunctional pancreatic neuroendocrine tumors and the role of endoscopic ultrasound guided fine-needle aspiration. Endosc Ultrasound. 2016; 5(1):49-54. PMC: 4770623. DOI: 10.4103/2303-9027.175897. View

10.

Paquin S, Gariepy G, Lepanto L, Bourdages R, Raymond G, Sahai A . A first report of tumor seeding because of EUS-guided FNA of a pancreatic adenocarcinoma. Gastrointest Endosc. 2005; 61(4):610-1. DOI: 10.1016/s0016-5107(05)00082-9. View

11.

Iida T, Adachi T, Ohe Y, Nakagaki S, Yabana T, Kondo Y . Re-recurrence after distal gastrectomy for recurrence caused by needle tract seeding during endoscopic ultrasound-guided fine-needle aspiration of a pancreatic adenocarcinoma. Endoscopy. 2016; 48(S 01):E304-E305. DOI: 10.1055/s-0042-116431. View

12.

Yang Y, Li L, Qu C, Liang S, Zeng B, Luo Z . Endoscopic ultrasound-guided fine needle core biopsy for the diagnosis of pancreatic malignant lesions: a systematic review and Meta-Analysis. Sci Rep. 2016; 6:22978. PMC: 4785370. DOI: 10.1038/srep22978. View

13.

Ngamruengphong S, Swanson K, Shah N, Wallace M . Preoperative endoscopic ultrasound-guided fine needle aspiration does not impair survival of patients with resected pancreatic cancer. Gut. 2015; 64(7):1105-10. DOI: 10.1136/gutjnl-2014-307475. View

14.

Kawabata H, Miyazawa Y, Sato H, Okada T, Hayashi A, Iwama T . Genetic analysis of postoperative recurrence of pancreatic cancer potentially owing to needle tract seeding during EUS-FNB. Endosc Int Open. 2019; 7(12):E1768-E1772. PMC: 6904237. DOI: 10.1055/a-1034-7700. View

15.

Ikezawa K, Uehara H, Sakai A, Fukutake N, Imanaka K, Ohkawa K . Risk of peritoneal carcinomatosis by endoscopic ultrasound-guided fine needle aspiration for pancreatic cancer. J Gastroenterol. 2012; 48(8):966-72. DOI: 10.1007/s00535-012-0693-x. View

16.

DeWitt J, Cho C, Lin J, Al-Haddad M, Canto M, Salamone A . Comparison of EUS-guided tissue acquisition using two different 19-gauge core biopsy needles: a multicenter, prospective, randomized, and blinded study. Endosc Int Open. 2015; 3(5):E471-8. PMC: 4612231. DOI: 10.1055/s-0034-1392222. View

17.

Sakurada A, Hayashi T, Ono M, Ishiwatari H, Ogino J, Kimura Y . A case of curatively resected gastric wall implantation of pancreatic cancer caused by endoscopic ultrasound-guided fine-needle aspiration. Endoscopy. 2015; 47 Suppl 1 UCTN:E198-9. DOI: 10.1055/s-0034-1377592. View

18.

Chin Y, Iglesias-Garcia J, de la Iglesia D, Larino-Noia J, Abdulkader-Nallib I, Lazare H . Accuracy of endoscopic ultrasound-guided tissue acquisition in the evaluation of lymph nodes enlargement in the absence of on-site pathologist. World J Gastroenterol. 2017; 23(31):5755-5763. PMC: 5569290. DOI: 10.3748/wjg.v23.i31.5755. View

19.

Zhu H, Jiang F, Zhu J, Du Y, Jin Z, Li Z . Assessment of morbidity and mortality associated with endoscopic ultrasound-guided fine-needle aspiration for pancreatic cystic lesions: A systematic review and meta-analysis. Dig Endosc. 2017; 29(6):667-675. DOI: 10.1111/den.12851. View

20.

El Hajj I, Wu H, Reuss S, Randolph M, Harris A, Gromski M . Prospective Assessment of the Performance of a New Fine Needle Biopsy Device for EUS-Guided Sampling of Solid Lesions. Clin Endosc. 2018; 51(6):576-583. PMC: 6283768. DOI: 10.5946/ce.2018.053. View