Role of Endoscopic Ultrasound in Treatment of Pancreatic Cancer

被引:13
作者
Guo, Xiaozhong [1 ]
Cui, Zhongmin [1 ]
Hu, Zhigang [1 ]
机构
[1] Gen Hosp Shenyang Mil Command, Dept Gastroenterol, Shenyang 110840, Liaoning Provin, Peoples R China
基金
中国国家自然科学基金;
关键词
pancreatic cancer; endoscopic ultrasound; radiofrequency ablation; brachytherapy; celiac neurolysis; CELIAC PLEXUS NEUROLYSIS; GUIDED INTERSTITIAL BRACHYTHERAPY; FINE-NEEDLE INJECTION; PHOTODYNAMIC THERAPY; STEREOTACTIC RADIOSURGERY; RADIOFREQUENCY ABLATION; RADIATION-THERAPY; PORCINE PANCREAS; I-125; SEEDS; GANGLION IRRADIATION;
D O I
10.4103/2303-9027.121238
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Endoscopic ultrasound (EUS) can help diagnose diseases with high accuracy because it overcomes the limitations of gastrointestinal gas and abdominal fat. The emergence of curved linear-array echoendoscopy has significantly promoted the applications of the technique to new levels. The advancement has appeared from EUS imaging to EUS-guided fine needle aspiration, drainage and injection. Computed tomography and magnetic resonance imaging present certain limitations for diagnosing pancreatic tumors due to the specificity of the location of such growths. In addition, traditional chemotherapy does not show ideal results because pancreatic cancer (PC) exhibits hypovascular characteristics. Interventional EUS can overcome these limitations and has potential to become the mainstream method of PC local treatment in the future. This paper reviews the use of interventional EUS in the treatment of PC based on previous studies.
引用
收藏
页码:181 / 189
页数:9
相关论文
共 58 条
[1]   Feasibility and safety of EUS-guided cryothermal ablation in patients with locally advanced pancreatic cancer [J].
Arcidiacono, Paolo Giorgio ;
Carrara, Silvia ;
Reni, Michele ;
Petrone, Maria Chiara ;
Cappio, Stefano ;
Balzano, Gianpaolo ;
Boemo, Cinzia ;
Cereda, Stefano ;
Nicoletti, Roberto ;
Enderle, Markus Dominik ;
Neugebauer, Alexander ;
von Renteln, Daniel ;
Eickhoff, Axel ;
Testoni, Pier Alberto .
GASTROINTESTINAL ENDOSCOPY, 2012, 76 (06) :1142-1151
[2]   EUS visualization and direct celiac ganglia neurolysis predicts better pain relief in patients with pancreatic malignancy [J].
Ascunce, Gil ;
Ribeiro, Afonso ;
Reis, Isildinha ;
Rocha-Lima, Caio ;
Sleeman, Danny ;
Merchan, Jaime ;
Levi, Joe .
GASTROINTESTINAL ENDOSCOPY, 2011, 73 (02) :267-274
[3]   Is there a life-long risk of brachial plexopathy after radiotherapy of supraclavicular lymph nodes in breast cancer patients? [J].
Bajrovic, A ;
Rades, D ;
Fehlauer, F ;
Tribius, S ;
Hoeller, U ;
Rudat, V ;
Jung, H ;
Alberti, W .
RADIOTHERAPY AND ONCOLOGY, 2004, 71 (03) :297-301
[4]   Photodynamic therapy for cancer of the pancreas [J].
Bown, SG ;
Rogowska, AZ ;
Whitelaw, DE ;
Lees, WR ;
Lovat, LB ;
Ripley, P ;
Jones, L ;
Wyld, P ;
Gillams, A ;
Hatfield, AWR .
GUT, 2002, 50 (04) :549-557
[5]   R0 in Pancreatic Cancer Surgery Surgery, Pathology, Biology, or Definition Matters? [J].
Buechler, Markus W. ;
Werner, Jens ;
Weitz, Juergen .
ANNALS OF SURGERY, 2010, 251 (06) :1011-1012
[6]   Endoscopic ultrasound-guided application of a new hybrid cryotherm probe in porcine pancreas: a preliminary study [J].
Carrara, S. ;
Arcidiacono, P. G. ;
Albarello, L. ;
Addis, A. ;
Enderle, M. D. ;
Boemo, C. ;
Campagnol, M. ;
Ambrosi, A. ;
Doglioni, C. ;
Testoni, P. A. .
ENDOSCOPY, 2008, 40 (04) :321-326
[7]   EUS-guided photodynamic therapy of the pancreas: a pilot study [J].
Chan, HH ;
Nishioka, NS ;
Mino, M ;
Lauwers, GY ;
Puricelli, WP ;
Collier, KN ;
Brugge, WR .
GASTROINTESTINAL ENDOSCOPY, 2004, 59 (01) :95-99
[8]  
Chang KJ, 2000, CANCER-AM CANCER SOC, V88, P1325, DOI 10.1002/(SICI)1097-0142(20000315)88:6<1325::AID-CNCR8>3.0.CO
[9]  
2-T
[10]   SELECTIVE NECROSIS IN HAMSTER PANCREATIC TUMORS USING PHOTODYNAMIC THERAPY WITH PHTHALOCYANINE PHOTOSENSITIZATION [J].
CHATLANI, PT ;
NUUTINEN, PJO ;
TODA, N ;
BARR, H ;
MACROBERT, AJ ;
BEDWELL, J ;
BOWN, SG .
BRITISH JOURNAL OF SURGERY, 1992, 79 (08) :786-790