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Role of Endoscopic Ultrasonography in Guiding Treatment Plans for Upper Gastrointestinal Subepithelial Tumors
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논문 기본 정보

Type
Academic journal
Author
Journal
The Korean Society Of Gastrointestinal Endoscopy Clinical Endoscopy Clinical Endoscopy 제49권 제3호 KCI Accredited Journals SCOPUS
Published
2016.1
Pages
220 - 225 (6page)

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Role of Endoscopic Ultrasonography in Guiding Treatment Plans for Upper Gastrointestinal Subepithelial Tumors
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Abstract· Keywords

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Gastrointestinal (GI) subepithelial tumors (SETs) are usually observed incidentally by endoscopy and have diverse prognoses, varying from benign to potentially malignant. When a GI SET is suspected, endoscopic ultrasonography (EUS) is the most accurate diagnostic method to differentiate it from extraluminal compression. To determine the nature of GI SETs, EUS is also the most accurate diagnostic method, and reveals the precise sonographic nature of the lesion. There are some SETs with typical EUS findings of GI SETs, but most hypoechoic lesions are difficult to diagnose based on EUS images alone. EUS is also helpful to determine GI wall involvement in SETs and optimal treatment methods. For the diagnosis of GI SETs, obtaining a proper specimen is essential. EUS-guided cytology or biopsy methods such as fine-needle aspiration, Tru-Cut biopsy, and the newly introduced fine-needle biopsy (FNB) provide good results. To increase the diagnostic yield for GI SETs, cytology with immunocytochemical staining is used for cytological interpretation, resulting in good diagnostic yields. Recently, EUS-FNB using cheese slicer technology has been introduced, and has been reported to provide good diagnostic results for GI SETs.
#Endoscopic ultrasound #Gastrointestinal tract #Subepithelial tumor

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References (31)

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문정섭 / 2012 / Endoscopic Ultrasound-Guided Fine Needle Aspiration in Submucosal Lesion / Clinical Endoscopy 45(2):117~123 dbpia Sakamoto H / 2010 / Diagnosis of subepithelial tumors in the upper gastrointestinal tract by endoscopic ultrasonography / World J Radiol 2:289~297 google schola Landi B / 2009 / The role of endosonography in submucosal tumours / Best Pract Res Clin Gastroenterol 23:679~701 google schola 지정선 / 2009 / Diagnostic Yield of Tissue Sampling Using a Bite-On-Bite Technique for Incidental Subepithelial Lesions / The Korean Journal of Internal Medicine 24(2):101~105 google schola Tae HJ / 2014 / Deep biopsy via endoscopic submucosal dissection in upper gastrointestinal subepithelial tumors: a prospective study / Endoscopy 46:845~850 google schola

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