Utility of Endoscopic Ultrasound in Evaluating Local Recurrence After Surgery for Pancreatic Cancer

Clin Gastroenterol Hepatol. 2018 Nov;16(11):1834-1835. doi: 10.1016/j.cgh.2018.02.031. Epub 2018 Mar 2.

Abstract

Pancreatic adenocarcinoma recurrence after surgery (PARaS) is associated with poor outcomes. PARaS is locoregional in 50%-80%, effecting the resection bed and adjacent lymphatics.1-3 Detection of PARaS via endoscopic ultrasound (EUS) is challenging because recurrent malignancy is difficult to distinguish from normal postoperative changes. Diagnosing PARaS is important, because salvage chemotherapy/radiation improves survival.4,5 The purpose of this investigation is to determine the clinical utility of EUS fine-needle aspiration (FNA) in patients with suspected PARaS.

Publication types

  • Evaluation Study

MeSH terms

  • Adenocarcinoma / diagnosis*
  • Adenocarcinoma / surgery*
  • Diagnostic Tests, Routine / methods*
  • Endoscopic Ultrasound-Guided Fine Needle Aspiration / methods*
  • Humans
  • Pancreatic Neoplasms / diagnosis*
  • Pancreatic Neoplasms / surgery*
  • Prospective Studies
  • Recurrence