Publications by authors named "K Hiroe"
Article Synopsis
- A 73-year-old woman presented with a 40x30 mm tumor in the pancreatic tail, which was found through a CT scan and showed characteristics similar to pancreatic cancer.
- A biopsy confirmed the tumor was metastatic, matching the previous kidney tumor, and the patient underwent surgery to remove it, highlighting the difficulties in monitoring long-term metastasis.
Article Synopsis
- Endoscopic ultrasound shear wave elastography (EUS-SWE) is an effective method for evaluating pancreatic stiffness and diagnosing early chronic pancreatitis (ECP), a condition that hasn't been thoroughly researched yet.
- The study involved 657 patients, with 22 selected for each ECP and normal groups, finding that pancreatic stiffness was significantly higher in the ECP group (2.31 m/s) compared to the normal group (1.59 m/s).
- EUS-SWE showed strong diagnostic accuracy for ECP, with a cutoff value of 2.24 m/s linked to various EUS findings, confirming its potential as an objective tool in diagnosing ECP based on the Japanese diagnostic criteria from 2019.
Purpose: Although endoscopic ultrasound (EUS) has been widely used for diagnosing chronic pancreatitis (CP), the assessment of fibrosis using the Rosemont criteria (RC) is generally subjective. Shear wave elastography using EUS (EUS-SWE) has been advocated as an objective approach to evaluating pancreatic fibrosis; however, it is unknown which pancreatic region should be selected for measurement. This study aims to compare the diagnostic accuracy in diagnosing CP by measurement site.
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