Needle tract seeding after endoscopic ultrasound-guided tissue acquisition of pancreatic tumors: Nationwide survey in Japan

被引：30

作者：

Kitano, Masayuki ^{[1
]}

Yoshida, Makoto ^{[5
]}

Ashida, Reiko ^{[1
,10
,11
]}

Kita, Emiri ^{[18
]}

Katanuma, Akio ^{[6
]}

Itoi, Takao ^{[21
]}

Mikata, Rintaro ^{[19
]}

Nishikawa, Kenichiro ^{[26
]}

Matsubayashi, Hiroyuki ^{[27
]}

Takayama, Yukiko ^{[22
]}

Kato, Hironari ^{[28
]}

Takenaka, Mamoru ^{[12
]}

Ueki, Toru ^{[29
]}

Kawashima, Yohei ^{[33
]}

Nakai, Yousuke ^{[23
]}

Hashimoto, Shinichi ^{[34
]}

Shigekawa, Minoru ^{[13
]}

Nebiki, Hiroko ^{[14
]}

Tsumura, Hidetaka ^{[35
]}

Okabe, Yosinobu ^{[38
]}

Ryozawa, Shomei ^{[40
]}

Harada, Yoshiyuki ^{[2
]}

Mitoro, Akira ^{[41
]}

Sasaki, Tamito ^{[30
]}

Yasuda, Hiroaki ^{[42
]}

Miura, Natsuki ^{[24
]}

Ikemoto, Tetsuya ^{[43
]}

Ozawa, Eisuke ^{[44
]}

Shioji, Kazuhiko ^{[45
]}

Yamaguchi, Atsushi ^{[31
,32
]}

Okuzono, Toru ^{[46
]}

Moriyama, Ichiro ^{[48
]}

Hisai, Hiroyuki ^{[7
]}

Fujita, Koichi ^{[15
]}

Goto, Takuma ^{[8
]}

Shirahata, Nakao ^{[49
]}

Iwata, Yoshinori ^{[36
]}

Okabe, Yoshihiro ^{[37
]}

Hara, Kazuo ^{[50
]}

Hashimoto, Yusuke ^{[20
]}

Kuwatani, Masaki ^{[9
]}

Isayama, Hiroyuki ^{[25
]}

Fujimori, Nao ^{[39
]}

Masamune, Atsushi ^{[47
]}

Hatamaru, Keiichi ^{[1
]}

Shimokawa, Toshio ^{[3
]}

Okazaki, Kazuichi ^{[16
]}

Takeyama, Yoshifumi ^{[17
]}

Yamaue, Hiroki ^{[4
]}

机构：

[1] Wakayama Med Univ, Sch Med, Dept Internal Med 2, 811-1 Kimiidera, Wakayama 6410012, Japan

[2] Japanese Red Cross Wakayama Med Ctr, Dept Gastroenterol, Wakayama, Japan

[3] Wakayama Med Univ Hosp, Clin Study Support Ctr, Wakayama, Japan

[4] Wakayama Med Univ, Dept Surg 2, Wakayama, Japan

[5] Sapporo Med Univ Hosp, Med Oncol, Sapporo, Hokkaido, Japan

[6] Teine Keijinkai Hosp, Ctr Gastroenterol, Sapporo, Hokkaido, Japan

[7] Japanese Red Cross Date Hosp, Dept Gastroenterol, Asahikawa, Hokkaido, Japan

[8] Asahikawa Med Univ, Gastroenterol & Endoscopy, Div Metab & Biosyst Sci, Gastroenterol & Hematol Oncol,Dept Med, Asahikawa, Hokkaido, Japan

[9] Hokkaido Univ Hosp, Dept Gastroenterol & Hepatol, Sapporo, Hokkaido, Japan

[10] Osaka Int Canc Inst, Dept Canc Survey, Osaka, Japan

[11] Osaka Int Canc Inst, Dept Gastrointestinal Oncol, Osaka, Japan

[12] Kindai Univ, Fac Med, Dept Gastroenterol & Hepatol, Higashiosaka, Osaka, Japan

[13] Osaka Univ, Grad Sch Med, Gastroenterol & Hepatol, Osaka, Japan

[14] Osaka City Gen Hosp, Dept Gastroenterol, Osaka, Japan

[15] Yodogawa Christians Hosp, Dept Gastroenterol & Hepatol, Osaka, Japan

[16] Kansai Med Univ, Kori Hosp, Hirakata, Osaka, Japan

[17] Kindai Univ, Fac Med, Dept Surg, Osaka, Japan

[18] Chiba Univ, Chiba Canc Ctr, Gastroenterol, Chiba, Japan

[19] Chiba Univ, Grad Sch Med, Dept Gastroenterol, Chiba, Japan

[20] Natl Canc Ctr Hosp East, Dept Hepatobiliary & Pancreat Oncol, Chiba, Japan

[21] Tokyo Med Univ, Gastroenterol & Hepatol, Tokyo, Japan

[22] Tokyo Womens Med Univ Hosp, Inst Gastroenterol, Dept Internal Med, Tokyo, Japan

[23] Univ Tokyo Hosp, Dept Gastroenterol, Tokyo, Japan

[24] Tokyo Metropolitan Tama Med Ctr, Dept Gastroenterol, Tokyo, Japan

[25] Juntendo Univ, Grad Sch Med, Dept Gastroenterol, Tokyo, Japan

[26] Matsusaka Municipal Hosp, Dept Gastroenterol, Matsusaka, Mie, Japan

[27] Shizuoka Canc Ctr, Div Endoscopy, Shizuoka, Japan

[28] Okayama Univ Hosp, Gastroenterol, Okayama, Japan

[29] Fukuyama City Hosp, Lnternal Med, Fukuyama, Hiroshima, Japan

[30] Hiroshima Prefectural Hosp, Dept Gastroenterol, Hiroshima, Japan

[31] Natl Hosp Org Kure Med Ctr, Gastroenterol, Hiroshima, Japan

[32] Chugoku Canc Ctr, Hiroshima, Japan

[33] Tokai Univ, Div Gastroenterol, Sch Med, Hiratsuka, Kanagawa, Japan

[34] Kagoshima Univ, Digest & Lifestyle Dis, Kagoshima, Japan

[35] Hyogo Canc Ctr, Gastroenterol Oncol, Akashi, Hyogo, Japan

[36] Hyogo Coll Med, Dept Internal Med, Div Hepatobiliary & Pancreat Dis, Nishinomiya, Hyogo, Japan

[37] Kakogawa Cent City Hosp, Dept Gastroenterol, Kakogawa, Hyogo, Japan

[38] Kurume Univ, Sch Med, Dept Med, Div Gastroenterol, Kurume, Fukuoka, Japan

[39] Kyushu Univ, Grad Sch Med Sci, Dept Med & Bioregulatory Sci, Fukuoka, Japan

[40] Saitama Med Univ, Gastroenterol, Int Med Ctr, Saitama, Japan

[41] Nara Med Univ, Gastroenterol, Nara, Japan

[42] Kyoto Prefectural Univ Med, Dept Gastroenterol & Hepatol, Kyoto, Japan

[43] Tokushima Univ Hosp, Dept Digest & Transplant Surg, Tokushima, Japan

[44] Nagasaki Univ Hosp, Dept Gastroenterol & Hepatol, Nagasaki, Japan

[45] Niigata Canc Ctr Hosp, Internal Med, Niigata, Japan

[46] Sendai Kousei Hosp, Dept Gastroenterol, Sendai, Miyagi, Japan

[47] Tohoku Univ, Grad Sch Med, Div Gastroenterol, Sendai, Miyagi, Japan

[48] Shimane Univ Hosp, Dept Med Oncol, Izumo, Shimane, Japan

[49] Yamagata Prefectural Cent Hosp, Dept Gastroenterol, Yamagata, Japan

[50] Aichi Canc Ctr, Gastroenterol, Nagoya, Aichi, Japan

来源：

DIGESTIVE ENDOSCOPY | 2022年 / 34卷 / 07期

关键词：

EUS; EUS-FNA; needle tract seeding; pancreatic tumor; tissue acquisition; PERITONEAL CARCINOMATOSIS; CANCER; EUS; ASPIRATION; FNA; BIOPSY; DIAGNOSIS; RECURRENCE; RESECTION; SURVIVAL;

D O I：

10.1111/den.14346

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

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. 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. 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). 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.

引用

页码：1442 / 1455

页数：14

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