Diagnostic Yield of EUS-Guided Tissue Acquisition as a First-Line Approach In Patients With Suspected Hilar Cholangiocarcinoma

Téllez-Ávila, Félix Ignacio; Bernal-Méndez, Ambrosio Rafael; Guerrero-Vázquez, Camilo Guillermo; Martínez-Lozano, Jorge Adolfo; Ramírez-Luna, Miguel Ángel

doi:10.1038/ajg.2014.169

Cited by 18 publications

(12 citation statements)

References 12 publications

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“…The data on tract seeding rates in the presented study are missing. The study (2) echoes the recent report from the Indiana University group stating that EUS-guided fine-needle aspiration (FNA) did not influence CCA recurrence and patient survival after the curative-intent surgery (4). However, the median progression-free survival in the study from Indiana was 17.8 months (95% CI, 14.5–22.8), which is too dismal and short a time to observe the effect of tumor tract seeding on outcomes.…”

Section: To the Editorsupporting

confidence: 68%

See 1 more Smart Citation

Awareness of Tract Seeding With Endoscopic Ultrasound Tissue Acquisition in Perihilar Cholangiocarcinoma

Razumilava

Gleeson

Gores

2015

American Journal of Gastroenterology

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Section: To the Editorsupporting

confidence: 68%

“…In a recent article, Tellez-Avila et al . (2) from Mexico report the high sensitivity of endoscopic ultrasound (EUS)-guided tissue acquisition for pCCA. While test performance is reasonable, the use of this technique in pCCA is fraught with an inappropriately high rate of needle tract tumor seeding (3).…”

Section: To the Editormentioning

confidence: 99%

Awareness of Tract Seeding With Endoscopic Ultrasound Tissue Acquisition in Perihilar Cholangiocarcinoma

Razumilava

Gleeson

Gores

2015

American Journal of Gastroenterology

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“…Ohshima et al reported that EUS-FNA is a sensitive (sensitivity, 100%) and safe (no adverse events) diagnostic modality for patients with suspected malignant biliary strictures after negative endoscopic transpapillary brush cytology and forceps biopsy [10]. In recent studies, EUS- FNA for biliary disease has been reported as a first-line modality for obtaining histological evidence [12,16]. Weilert at al.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Ultrasonography-Guided Fine Needle Aspiration for Extrahepatic Cholangiocarcinoma: A Safe Tissue Sampling Modality

Onoyama

Matsumoto

Takeda

et al. 2019

JCM

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Few studies have compared the diagnostic utility of endoscopic ultrasonography-guided fine needle aspiration (EUS-FNA) and endoscopic retrograde cholangiopancreatography (ERCP) tissue sampling for extrahepatic cholangiocarcinoma (ECC). We evaluated the efficacy and safety of EUS-FNA for diagnosing ECC compared with ERCP tissue sampling. Patients who underwent EUS-FNA or ERCP tissue sampling to differentiate ECC from benign biliary disease were enrolled retrospectively between October 2011 and March 2017. We evaluated diagnostic performances of EUS-FNA and ERCP tissue sampling based on pathological evaluation. We compared adverse events in EUS-FNA and ERCP tissue sampling. We enrolled 73 patients with biliary disease and performed EUS-FNA and ERCP in 19 and 54 patients, respectively. Sensitivity, specificity, and accuracy of ERCP tissue sampling were 76.0%, 100%, and 88.9%, respectively, and for EUS-FNA these were 81.8%, 87.5%, and 84.2%, respectively. Statistical values of ERCP tissue sampling and EUS-FNA were not significantly different. The adverse event frequency of EUS-FNA was significantly lower than that of ERCP tissue sampling (0% vs. 25.9%, p = 0.033). The diagnostic ability of EUS-FNA for ECC is similar to that of ERCP tissue sampling. EUS-FNA is a safer tissue sampling modality than ERCP for evaluating biliary disease.

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“…Endoscopic ultrasound (EUS) is commonly used to establish the diagnosis of CC especially when fine needle aspiration (FNA) biopsy is employed. 72,73 The high-resolution image quality allows assessment of local tumor characteristics such as depth, stricture length, and ability to target liver lesions and regional lymph nodes inaccessible by percutaneous techniques. 74,75 When combined with endoscopic retrograde cholangiopancreatography fine needle aspirates, EUS-FNA shows increased diagnostic accuracy (86%) when compared with EUS-FNA (70%) or endoscopic retrograde cholangiography biopsy (67%) alone.…”

Section: Endoscopic Ultrasoundmentioning

confidence: 99%

Imaging of Cholangiocarcinoma

Arellano

Sahani

2017

Dig Dis Interv

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Cross-section imaging plays an increasingly important role in the evaluation and diagnosis of cholangiocarcinoma (CC). CCs can have varied radiological appearances, depending on their location, morphology, as well as their histological characteristics. An awareness of the varied imaging manifestations of CC and its accurate diagnosis are necessary to direct appropriate management. Recent advances in imaging techniques, histological assessment, molecular imaging, surgical techniques, and radiation therapy have all revitalized interest in the diagnosis and management of CCs.

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Diagnostic Yield of EUS-Guided Tissue Acquisition as a First-Line Approach In Patients With Suspected Hilar Cholangiocarcinoma

Cited by 18 publications

References 12 publications

Awareness of Tract Seeding With Endoscopic Ultrasound Tissue Acquisition in Perihilar Cholangiocarcinoma

Awareness of Tract Seeding With Endoscopic Ultrasound Tissue Acquisition in Perihilar Cholangiocarcinoma

Endoscopic Ultrasonography-Guided Fine Needle Aspiration for Extrahepatic Cholangiocarcinoma: A Safe Tissue Sampling Modality

Imaging of Cholangiocarcinoma

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