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Endoscopic ultrasound-guided tissue acquisition of pancreatic masses |
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| Affiliation: | 1. Department of Nuclear Medicine, Catholic Kwandong University College of Medicine, International St Mary''s Hospital, Simgokro 100 Gil 25, Seo-gu, Incheon, 22711, South Korea;2. Department of Radiology, Graduate School, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul, 06591, South Korea;3. Department of Nuclear Medicine, Soonchunhyang University Cheonan Hospital, 23-20 Byeongmyeong-dong, Dongnam-gu, Cheonan, Chungcheongnam-do, 31151, South Korea;4. Department of Radiology, Incheon St Mary''s Hospital, College of Medicine, The Catholic University of Korea, 59 Dongsu-ro, Bupyeong-gu, Incheon, 21431, South Korea;1. Department of Internal Medicine, Saint Vincent Hospital, Worcester, MA;2. Division of Gastroenterology and Hepatology, Mayo Clinic Minnesota, Rochester, MN |
| Abstract: | Endoscopic ultrasound (EUS) has assumed an increasing role in the management of pancreaticobiliary disease over the past 2 decades but its impact is particularly evident in the management of pancreatic masses. EUS helps improve patients′ outcomes by enhancing tumor detection and staging while providing safe and reliable tissue diagnosis. This review provides an evidence-based approach to the use of EUS for the diagnosis of pancreatic cancer, its staging, and for the determination of resectability compared to other imaging modalities. We will focus on techniques specific to obtaining tissue from solid pancreatic masses and will review best practices in EUS-guided tissue acquisition. |
| Keywords: | Endoscopic ultrasound Fine needle biopsy Pancreatic masses Tissue acquisition |
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