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Updated techniques and evidence for endoscopic ultrasound‐guided tissue acquisition from solid pancreatic lesions

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Titel: Updated techniques and evidence for endoscopic ultrasound‐guided tissue acquisition from solid pancreatic lesions
Autoren: Masahiro Itonaga, Reiko Ashida, Masayuki Kitano
Quelle: DEN Open, Vol 5, Iss 1, Pp n/a-n/a (2025)
Verlagsinformationen: Wiley, 2025.
Publikationsjahr: 2025
Bestand: LCC:Diseases of the digestive system. Gastroenterology
Schlagwörter: comprehensive genomic profiling, EUS‐TA, EUS‐FNA, needle tract seeding, pancreatic neoplasm, Diseases of the digestive system. Gastroenterology, RC799-869
Beschreibung: Abstract Endoscopic ultrasound‐guided tissue acquisition (EUS‐TA), including fine‐needle aspiration (EUS‐FNA) and fine‐needle biopsy (EUS‐FNB), has revolutionized specimen collection from intra‐abdominal organs, especially the pancreas. Advances in personalized medicine and more precise treatment have increased demands to collect specimens with higher cell counts, while preserving tissue structure, leading to the development of EUS‐FNB needles. EUS‐FNB has generally replaced EUS‐FNA as the procedure of choice for EUS‐TA of pancreatic cancer. Various techniques have been tested for their ability to enhance the diagnostic performance of EUS‐TA, including multiple methods of sampling at the time of puncture, on‐site specimen evaluation, and specimen processing. In addition, advances in next‐generation sequencing have made comprehensive genomic profiling of EUS‐TA samples feasible in routine clinical practice. The present review describes updates in EUS‐TA sampling techniques of pancreatic lesions, as well as methods for their evaluation.
Publikationsart: article
Dateibeschreibung: electronic resource
Sprache: English
ISSN: 2692-4609
Relation: https://doaj.org/toc/2692-4609
DOI: 10.1002/deo2.399
Zugangs-URL: https://doaj.org/article/2f36a5ef08cf454e953d79adfc8c8b7d
Dokumentencode: edsdoj.2f36a5ef08cf454e953d79adfc8c8b7d
Datenbank: Directory of Open Access Journals
Beschreibung
Abstract:Abstract Endoscopic ultrasound‐guided tissue acquisition (EUS‐TA), including fine‐needle aspiration (EUS‐FNA) and fine‐needle biopsy (EUS‐FNB), has revolutionized specimen collection from intra‐abdominal organs, especially the pancreas. Advances in personalized medicine and more precise treatment have increased demands to collect specimens with higher cell counts, while preserving tissue structure, leading to the development of EUS‐FNB needles. EUS‐FNB has generally replaced EUS‐FNA as the procedure of choice for EUS‐TA of pancreatic cancer. Various techniques have been tested for their ability to enhance the diagnostic performance of EUS‐TA, including multiple methods of sampling at the time of puncture, on‐site specimen evaluation, and specimen processing. In addition, advances in next‐generation sequencing have made comprehensive genomic profiling of EUS‐TA samples feasible in routine clinical practice. The present review describes updates in EUS‐TA sampling techniques of pancreatic lesions, as well as methods for their evaluation.
ISSN:26924609
DOI:10.1002/deo2.399