Needle tract seeding after endoscopic ultrasound‐guided tissue acquisition of pancreatic tumors: Nationwide survey in Japan. Issue 7 (29th June 2022)

• Record Type: Journal Article
• Authors: Kitano, Masayuki; Yoshida, Makoto; Ashida, Reiko; Kita, Emiri; Katanuma, Akio; Itoi, Takao; Mikata, Rintaro; Nishikawa, Kenichiro; Matsubayashi, Hiroyuki; Takayama, Yukiko; Kato, Hironari; Takenaka, Mamoru; Ueki, Toru; Kawashima, Yohei; Nakai, Yousuke; Hashimoto, Shinichi; Shigekawa, Minoru; Nebiki, Hiroko; Tsumura, Hidetaka; Okabe, Yosinobu; Ryozawa, Shomei; Harada, Yoshiyuki; Mitoro, Akira; Sasaki, Tamito; Yasuda, Hiroaki; Miura, Natsuki; Ikemoto, Tetsuya; Ozawa, Eisuke; Shioji, Kazuhiko; Yamaguchi, Atsushi; Okuzono, Toru; Moriyama, Ichiro; Hisai, Hiroyuki; Fujita, Koichi; Goto, Takuma; Shirahata, Nakao; Iwata, Yoshinori; Okabe, Yoshihiro; Hara, Kazuo; Hashimoto, Yusuke; Kuwatani, Masaki; Isayama, Hiroyuki; Fujimori, Nao; Masamune, Atsushi; Hatamaru, Keiichi; Shimokawa, Toshio; Okazaki, Kazuichi; Takeyama, Yoshifumi; Yamaue, Hiroki;
• Other Names: Abue Makoto investigator.; Aiura Koichi investigator.; Akashi Tetsuro investigator.; Akiyama Takumi investigator.; Aoyagi Hiroyuki investigator.; Araki Masahiro investigator.; Arizumi Toshihiko investigator.; Aruga Yukio investigator.; Asada Masanori investigator.; Asai Satoshi investigator.; Baba Takeshi investigator.; Ban Shinichi investigator.; Chinen Kenji investigator.; Doi Shinpei investigator.; Eguchi Takaaki investigator.; Endo Masati investigator.; Endo Shinji investigator.; Ezaki Takeshi investigator.; Fujii Koji investigator.; Fujii Masakuni investigator.; Fujimori Mototsugu investigator.; Fujimoto Yoshifumi investigator.; Fujita Yasuaki investigator.; Fujita Yuji investigator.; Fukasawa Mitsuharu investigator.; Fukuba Nobuhiko investigator.; Fukuchi Satoshi investigator.; Fukuda Katsuyuki investigator.; Furukawa Masayuki investigator.; Furumatsu Keisuke investigator.; Hakamada Kenichi investigator.; Hanada Keiji investigator.; Harada Kenichi investigator.; Harano Megumi investigator.; Hashigo Shunpei investigator.; Hashiguchi Kazutoshi investigator.; Hayashi Katsumi investigator.; Hayashi Nobuhiko investigator.; Hayatsu Shigeo investigator.; Hijioka Susumu investigator.; Hirano Atsuyuki investigator.; Hirao Motohiro investigator.; Hirooka Yoshiki investigator.; Hirota Morihisa investigator.; Horino Kei investigator.; Hotta Yuma investigator.; Ijima Masashi investigator.; Ikuta Yukihiro investigator.; Imakiire Kazuyuki investigator.; Imamura Tsunao investigator.; Inatomi Osamu investigator.; Inoue Tadahisa investigator.; Irisawa Atsushi investigator.; Ishida Etsuji investigator.; Ishihara Kenji investigator.; Ishii Shuji investigator.; Ishii Tomohiro investigator.; Ito Hiroyuki investigator.; Ito Jun investigator.; Ito Tetsuhide investigator.; Iwahashi Kiyoshi investigator.; Iwano Hirotoshi investigator.; Iwasaki Eisuke investigator.; Iwashita Takuji investigator.; Iwata Keisuke investigator.; Kakimoto Tetsuhiro investigator.; Kaku Toyoma investigator.; Kamochi Junichiro investigator.; Kanamori Akira investigator.; Kaneto Hiroyuki investigator.; Karasaki Hidenori investigator.; Kato Yukari investigator.; Kawaguchi Yasunori investigator.; Kawakami Hiroshi investigator.; Kawase Tomoya investigator.; Kawashima Hiroki investigator.; Kikuyama Masataka investigator.; Kimura Kenji investigator.; Kimura Toshiyuki investigator.; Kitamura Kazuya investigator.; Kobashigawa Kasen investigator.; Kobayashi Akitoshi investigator.; Kobayashi Katsumasa investigator.; Kobayashi Masanori investigator.; Kodama Ryo investigator.; Kodama Yuzo investigator.; Koike Yuji investigator.; Komaki Takamitsu investigator.; Komura Takuya investigator.; Kondo Hiromu investigator.; Kondo Hisashi investigator.; Koshita Shinsuke investigator.; Koya Toshinari investigator.; Ku Yonson investigator.; Kuriyama Katsutoshi investigator.; Kuroda Taira investigator.; Kuroki Michio investigator.; Kuroki Tamotsu investigator.; Kushiyama Yoshinori investigator.; Maekawa Hiroshi investigator.; Makino Naohiko investigator.; Mandai Koichiro investigator.; Maruyama Hirotsugu investigator.; Maruyama Masafumi investigator.; Matsubara Saburo investigator.; Matsumoto Ryusuke investigator.; Matsunaga Kazuhiro investigator.; Matsusaki Shimpei investigator.; Matsushita Akira investigator.; Mihara Mika investigator.; Miyaike Jiro investigator.; Miyata Hideki investigator.; Miyoshi Hironao investigator.; Mizuno Shigeto investigator.; Morita Takayuki investigator.; Mouri Teruo investigator.; Mukai Tsuyoshi investigator.; Murakami Kazunari investigator.; Nagano Hiroaki investigator.; Nakahara Kazunari investigator.; Nakahara Osamu investigator.; Nakai Yoshitaka investigator.; Nakaji So investigator.; Nakajima Jun investigator.; Nakanishi Fumihiko investigator.; Nakano Yoshio investigator.; Nakashima Shinsuke investigator.; Naota Hiroaki investigator.; Nishida Norifumi investigator.; Nishide Tsutomu investigator.; Nishikiori Hidefumi investigator.; Nomura Yoshikatsu investigator.; Ochi Yasuhide investigator.; Ochiai Toshiya investigator.; Oe Shinji investigator.; Ogura Takeshi investigator.; Ohata Akihiko investigator.; Ohshima Tadashi investigator.; Ohtsubo Koushiro investigator.; Oka Hiromitsu investigator.; Okazaki Akihito investigator.; Okochi Osamu investigator.; Onishi Yoshiki investigator.; Otsuka Yuichiro investigator.; Sagami Ryota investigator.; Sakakihara Ichiro investigator.; Sakata Toyohiro investigator.; Sasahira Naoki investigator.; Sasaki Ayaka investigator.; Sato Hideki investigator.; Sato Shinichiro investigator.; Sato Toshifumi investigator.; Satoh Akihiko investigator.; Sekine Masanari investigator.; Sen‐yo Manabu investigator.; Serikawa Masahiro investigator.; Shibuya Hitoshi investigator.; Shimizu Satoshi investigator.; Shinzato Masato investigator.; Shitani Masahiro investigator.; Suda Takahiro investigator.; Sugimori Kazuya investigator.; Sumi Hajime investigator.; Suzuki Noriaki investigator.; Suzuki Rei investigator.; Suzuki Yasuyuki investigator.; Tadauchi Akimitsu investigator.; Takahashi Kenichi investigator.; Takahashi Kosuke investigator.; Takaya Haruo investigator.; Takeda Yohei investigator.; Takeda Osami investigator.; Takihara Hiroshi investigator.; Tanaka Yoshiki investigator.; Tanno Satoshi investigator.; Tawada Katsunobu investigator.; Taya Yoko investigator.; Terai Shuji investigator.; Terauchi Toshiaki investigator.; Togashi Junichi investigator.; Toki Masao investigator.; Toyama Takahiro investigator.; Tsuda Hidehiko investigator.; Tsugeno Hirofumi investigator.; Tsutsui Shusaku investigator.; Uchida Kazushige investigator.; Ueki Toshiharu investigator.; Usuba Teruyuki investigator.; Uza Norimitsu investigator.; Wakiyama Shigeki investigator.; Watanabe Masafumi investigator.; Yagi Yuhki investigator.; Yamada Reiko investigator.; Yamamoto Ryuichi investigator.; Yamazaki Masato investigator.; Yasuda Ichiro investigator.; Yawata Atsushi investigator.; Yokota Tomoyuki investigator.; Yokoyama Kensuke investigator.; Yoshida Koji investigator.; Yoshikawa Seiichi investigator.; Yoshikawa Takuro investigator.;
• Is Part Of: Digestive endoscopy. Volume 34:Issue 7(2022)
• Page Start: 1442
• Page End: 1455
• Publication Date: 2022-06-29
• Subjects: EUS -- EUS‐FNA -- needle tract seeding -- pancreatic tumor -- tissue acquisition; Digestive organs -- Diseases -- Periodicals; Digestive organs -- Diseases -- Diagnosis -- Periodicals; Endoscopy -- Periodicals; Digestive System Diseases -- diagnosis -- Periodicals; Digestive System Diseases -- therapy -- Periodicals; Endoscopy -- Periodicals; 616.3
• DOI: 10.1111/den.14346
• Languages: English
• ISSNs: 0915-5635

Abstract

Abstract : 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.