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| http://dx.doi.org/10.14309/crj.2017.17 | DOI Listing |
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Current Endoscopic and Surgical Management of Pancreatic Cystic Lesions: A Comprehensive Review.
Turk J Gastroenterol
November 2024
Division of Gastroenterology, Department of Medicine, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA.
Article Synopsis
- Pancreatic cystic lesions (PCLs) are commonly found during medical imaging, with their occurrence increasing as people age, making accurate identification of their type and cancer risk vital for treatment.
- Advanced endoscopic techniques, such as ultrasound and biopsy methods, allow for more precise diagnosis and management of PCLs, guiding clinicians on whether to monitor or operate.
- This review aims to summarize existing research on the endoscopic and surgical approaches to PCLs, examining their advantages, challenges, and future developments to assist healthcare professionals in their decision-making process.
Diagnostic performance of intracystic carcinoembryonic antigen (CEA) versus glucose in differentiation of mucinous and non-mucinous pancreatic cysts.
Pathol Oncol Res
October 2024
Department of Surgery, Transplantation and Gastroenterology, Division of Interventional Gastroenterology, Semmelweis University, Budapest, Hungary.
Article Synopsis
- Pancreatic cysts vary in their risk of cancer, making it important to differentiate between mucinous and non-mucinous types, as mucinous cysts can become malignant.
- This study compares the effectiveness of measuring intracystic glucose and carcinoembryonic antigen (CEA) levels using endoscopic ultrasound for diagnosing these cysts, involving data from 91 patients who had fine-needle aspiration.
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Training endosonographers in needle-based confocal laser endomicroscopy: Is there still a need?
Gastrointest Endosc
December 2023
Division of Gastroenterology, Department of Medicine, Geisinger Medical Center, Danville, Pennsylvania, USA.
Endoscopic Imaging of Pancreatic Cysts.
Gastrointest Endosc Clin N Am
July 2023
St Luke's Hospital, 224 South Woods Mill Road, Suite 410, Chesterfield, MO 63017, USA.
Pancreatic cystic lesions (PCLs) have been diagnosed with increasing frequency likely due to the widespread use of cross-sectional imaging. A precise diagnosis of the PCL is important because it helps identify patients in need of surgical resection and those who can undergo surveillance imaging. A combination of clinical and imaging findings as well as cyst fluid markers can help classify PCLs and guide management.
View Article and Find Full Text PDFNew digital confocal laser microscopy may boost real-time evaluation of endoscopic ultrasound-guided fine-needle biopsy (EUS-FNB) from solid pancreatic lesions: Data from an international multicenter study.
EBioMedicine
December 2022
Unit of Pathology of Endocrine Organs and Neuro-muscolar Pathology, Fondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy. Electronic address:
Background: Pancreatic cancer is an aggressive malignancy and a leading cause of cancer death worldwide; its lethality is partly linked to the difficulty of early diagnosis. Modern devices for endoscopic ultrasound-guided fine-needle biopsy (EUS-FNB) were recently developed to improve targeting and sampling of small lesions, but innovative technologies for microscopic assessment are still lacking. Ex vivo fluorescence confocal laser microscopy (FCM) is a new digital tool for real-time microscopic assessment of fresh unfixed biological specimens, avoiding conventional histological slide preparation and potentially being highly appealing for EUS-FNB specimens.
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