Clinical Gastroenterology Vol.33 No.12(5)

Theme Managements of Submucosal Tumors (SMT) in the Gastrointestinal Tract
Title Endoscopic Ultrasound-guided Fine Needle Aspiration for Gastrointestinal Submucosal Tumors
Publish Date 2018/11
Author Nozomi Okuno Department of Gastroenterology, Aichi Cancer Center Hospital
Author Nobumasa Mizuno Department of Gastroenterology, Aichi Cancer Center Hospital
Author Takamichi Kuwahara Department of Gastroenterology, Aichi Cancer Center Hospital
Author Shimpei Matsumoto Department of Gastroenterology, Aichi Cancer Center Hospital
Author Kazuo Hara Department of Gastroenterology, Aichi Cancer Center Hospital
[ Summary ] Gastrointestinal submucosal tumors (SMTs) are often incidentally detected during gastrointestinal endoscopy. SMTs are difficult to diagnose using conventional endoscopic images and forceps biopsies, because SMTs are covered with normal epithelium. Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) is used for safe and accurate histological examination of SMTs. The indication of EUS-FNA for SMT is the presence of a hypoechoic solid tumor larger than 10 mm, which cannot be diagnosed conclusively by imaging alone.
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