Theme | Pancreatic Cancer : Up-to-date | |
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Title | EUS for Diagnosis of Pancreatic Disease | |
Publish Date | 2011/01 | |
Author | Takamitsu Komaki | Division of Gastroenterology and Hepatology, Department of Internal Medicine, Kinki University School of Medicine |
Author | Masayuki Kitano | Division of Gastroenterology and Hepatology, Department of Internal Medicine, Kinki University School of Medicine |
Author | Hiroki Sakamoto | Division of Gastroenterology and Hepatology, Department of Internal Medicine, Kinki University School of Medicine |
Author | Hajime Imai | Division of Gastroenterology and Hepatology, Department of Internal Medicine, Kinki University School of Medicine |
Author | Ken Kamata | Division of Gastroenterology and Hepatology, Department of Internal Medicine, Kinki University School of Medicine |
Author | Tsuyoshi Miyata | Division of Gastroenterology and Hepatology, Department of Internal Medicine, Kinki University School of Medicine |
Author | Masatoshi Kudo | Division of Gastroenterology and Hepatology, Department of Internal Medicine, Kinki University School of Medicine |
[ Summary ] | The indications for endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) for pancreatic lesions are as follows:differential diagnosis of benign and malignant lesions and characterization of neoplasms and cancer staging. The sensitivity, specificity and accuracy of EUSFNA for diagnosing pancreatic cancer are reportedly 80-90%, 100%, and 85-95%, respecitvely. The overall complication rate appears to be 0.5-2.5%. Recently, second generation contrast agents for ultrasonography have been developed and contrast-enhanced harmonic imaging with EUS (CH-EUS) is now available. In a contrast-enhanced harmonic EUS study, using the ExPHD mode, pancreatic tumors were classified into four vascular patterns (avascular, hypovascular, isovascular and hypervascular). |