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

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

Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society（2022）

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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.

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关键词

EUS,EUS-FNA,needle tract seeding,pancreatic tumor,tissue acquisition

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