NEEDLE TRACT SEEDING AFTER ENDOSCOPIC ULTRASOUND-GUIDED TISSUE ACQUISITION OF PANCREATIC TUMORS: NATIONWIDE SURVEY IN JAPAN
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- KITANO Masayuki
- Second Department of Internal Medicine, Wakayama Medical University School of Medicine.
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- YOSHIDA Makoto
- Medical Oncology, Sapporo Medical University Hospital.
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- ASHIDA Reiko
- Second Department of Internal Medicine, Wakayama Medical University School of Medicine. Departments of Cancer Survey and Gastrointestinal Oncology, Osaka International Cancer Institute.
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- KITA Emiri
- Gastroenterology, Chiba Cancer Center.
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- KATANUMA Akio
- Center for Gastroenterology, Teine-Keijinkai Hospital.
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- ITOI Takao
- Gastroenterology and Hepatology, Tokyo Medical University.
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- MIKATA Rintaro
- Department of Gastroenterology, Graduate School of Medicine, Chiba University.
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- NISHIKAWA Kenichiro
- Department of Gastroenterology, Matsusaka Municipal Hospital.
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- MATSUBAYASHI Hiroyuki
- Division of Endoscopy, Shizuoka Cancer Center.
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- TAKAYAMA Yukiko
- Department of Internal Medicine, Institute of Gastroenterology, Tokyo Women’s Medical University Hospital.
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- KATO Hironari
- Gastroenterology, Okayama University Hospital.
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- TAKENAKA Mamoru
- Department of Gastroenterology and Hepatology, Kindai University Faculty of Medicine.
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- UEKI Toru
- Internal Medicine, Fukuyama City Hospital.
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- KAWASHIMA Yohei
- Division of Gastroenterology, Tokai University School of Medicine.
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- NAKAI Yousuke
- Department of Gastroenterology, The University of Tokyo Hospital.
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- HASHIMOTO Shinichi
- Digestive and Lifestyle Diseases, Kagoshima University.
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- SHIGEKAWA Minoru
- Gastroenterology and Hepatology, Osaka University Graduate School of Medicine.
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- NEBIKI Hiroko
- Department of Gastroenterology, Osaka City General Hospital.
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- TSUMURA Hidetaka
- Gastroenterological Oncology, Hyogo Cancer Center.
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- OKABE Yosinobu
- Division of Gastroenterology, Department of Medicine, Kurume University School of Medicine.
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- RYOZAWA Shomei
- Gastroenterology, Saitama Medical University International Medical Center.
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- HARADA Yoshiyuki
- Department of Gastroenterology, Japanese Red Cross Wakayama Medical Center.
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- MITORO Akira
- Gastroenterology, Nara Medical University.
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- SASAKI Tamito
- Department of Gastroenterology, Hiroshima Prefectural Hospital.
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- YASUDA Hiroaki
- Department of Gastroenterology and Hepatology, Kyoto Prefectural University of Medicine.
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- MIURA Natsuki
- Department of Gastroenterology, Tokyo Metropolitan Tama Medical Center.
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- IKEMOTO Tetsuya
- Department of Digestive and Transplant Surgery, Tokushima University Hospital.
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- OZAWA Eisuke
- Department of Gastroenterology and Hepatology, Nagasaki University Hospital.
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- SHIOJI Kazuhiko
- Internal Medicine, Niigata Cancer Center Hospital.
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- YAMAGUCHI Atsushi
- Gastroenterology, National Hospital Organization Kure Medical Center and Chugoku Cancer Center.
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- OKUZONO Toru
- Department of Gastroenterology, Sendai Kousei Hospital.
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- MORIYAMA Ichiro
- Department of Medical Oncology, Shimane University Hospital.
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- HISAI Hiroyuki
- Department of Gastroenterology, Japanese Red Cross Date Hospital.
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- FUJITA Koichi
- Department of Gastroenterology and Hepatology, Yodogawa Christian Hospital.
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- GOTO Takuma
- Gastroenterology and Endoscopy, Division of Metabolism and Biosystemic Science, Gastroenterology, and Hematology/Oncology, Department of Medicine, Asahikawa Medical University.
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- SHIRAHATA Nakao
- Department of Gastroenterology, Yamagata Prefectural Central Hospital.
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- IWATA Yoshinori
- Division of Hepatobiliary and Pancreatic Diseases, Department of Internal Medicine, Hyogo College of Medicine.
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- OKABE Yoshihiro
- Department of Gastroenterology, Kakogawa Central City Hospital.
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- HARA Kazuo
- Gastroenterology, Aichi Cancer Center.
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- HASHIMOTO Yusuke
- Department of Hepatobiliary and Pancreatic Oncology, National Cancer Center Hospital East.
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- KUWATANI Masaki
- Department of Gastroenterology and Hepatology, Hokkaido University Hospital.
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- ISAYAMA Hiroyuki
- Department of Gastroenterology, Graduate School of Medicine, Juntendo University.
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- FUJIMORI Nao
- Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University.
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- MASAMUNE Atsushi
- Division of Gastroenterology, Tohoku University Graduate School of Medicine.
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- HATAMARU Keiichi
- Second Department of Internal Medicine, Wakayama Medical University School of Medicine.
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- SHIMOKAWA Toshio
- Clinical Study Support Center, Wakayama Medical University Hospital.
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- OKAZAKI Kazuichi
- Kansai Medical University Kori Hospital.
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- TAKEYAMA Yoshifumi
- Department of Surgery, Kindai University Faculty of Medicine.
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- YAMAUE Hiroki
- Second Department of Surgery, Wakayama Medical University.
Bibliographic Information
- Other Title
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- 超音波内視鏡下組織採取後の穿刺経路腫瘍細胞播種に関する全国調査
Abstract
<p>Objectives: Endoscopic ultrasound-guided tissue acquisition (EUS-TA) plays a crucial role in the diagnosis of pancreatic tumors. The present study aimed to investigate the current status of needle tract seeding (NTS) after EUS-TA of pancreatic tumors based on a nationwide survey in Japan.</p><p>Methods: Patients who underwent surgical resection of primary pancreatic tumors after EUS-TA performed between April 2010 and March 2018 were surveyed. The incidence rates of NTS were determined, and compared in patients with pancreatic ductal adenocarcinomas (PDACs) and other tumors, and in patients who underwent transgastric and transduodenal EUS-TA of PDACs. The detailed features and prognosis of patients with NTS were also assessed.</p><p>Results: A total of 12,109 patients underwent surgical resection of primary pancreatic tumors after EUS-TA. The overall incidence rate of NTS was 0.330%, and the NTS rate was significantly higher in patients with PDAC than in those with other tumors (0.409% vs. 0.071%, P = 0.004). NTS was observed in 0.857% of patients who underwent transgastric EUS-TA, but in none of those who underwent transduodenal EUS-TA. Of the patients with NTS of PDACs, the median time from EUS-TA to occurrence of NTS and median patient survival were 19.3 and 44.7 months, respectively, with 97.4% of NTS located in the gastric wall and 65.8% of NTS resected. The patient survival was significantly longer in patients who underwent NTS resection than in those without NTS resection (P = 0.037).</p><p>Conclusions: Needle tract seeding appeared only after transgastric not after transduodenal EUS-TA. Careful follow-up provides an opportunity to remove localized NTS lesions by gastrectomy.</p>
Journal
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- GASTROENTEROLOGICAL ENDOSCOPY
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GASTROENTEROLOGICAL ENDOSCOPY 66 (3), 312-326, 2024
Japan Gastroenterological Endoscopy Society
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Keywords
Details 詳細情報について
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- CRID
- 1390581014219736960
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- ISSN
- 18845738
- 03871207
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- Text Lang
- ja
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- Data Source
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- JaLC
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- Abstract License Flag
- Disallowed