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Cystic pancreatic lesions,the endless dilemma

World Journal of Gastroenterology 2021年第21期27卷 2664-2680页

作者： Hussein Hassan Okasha Abeer Awad Ahmed El-meligui Reem Ezzat Ashraf Aboubakr sameh abouelenin Ramy El-Husseiny Ahmed Alzamzamy Department of Internal Medicine and Gastroenterology Hepatology UnitKasr Al-Aini HospitalsCairo UniversityCairo 11562Egypt Department of Internal Medicine and Gastroenterology Hepatology UnitAssuit UniversityAssuit 71515Egypt Department of Gastroenterology and Hepatology Maadi Armed Forces Medical ComplexMilitary Medical AcademyCairo 11441Egypt Department of Gastroenterology and Hepatology Military Medical AcademyCairo 11441Egypt Department of Hepatology and Tropical Medicine National Hepatology and Tropical Medicine Research Institute(NHTMRI)Cairo 11441Egypt

Cystic pancreatic lesions involve a wide variety of pathological entities that include neoplastic and non-neoplastic *** proper diagnosis,differentiation,and staging of these cystic lesions are considered a crucial issue in planning further *** are great challenges for their diagnostic *** our time,new emerging methods for this diagnosis have been *** ultrasonography-guided fine-needle aspiration cytology with chemical and molecular analysis of cyst fluid and EUS-guided fine needlebased confocal laser endomicroscopy,through the needle microforceps biopsy,and single-operator cho-langioscopy/pancreatoscopy are promising methods that have been used in the diagnosis of cystic pancreatic *** we discuss the diagnosis of cystic pancreatic lesions and the benefits of various diagnostic models.

关键词： Pancreatic cystic lesion Endoscopic diagnosis Endoscopic ultrasonography Cyst fluid markers Endoscopic ultrasonography-guided fine needle-based confocal laser endomicroscopy Through the needle microforceps biopsy Single operator cholangioscopy/pancreatoscopy

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Hussein Hassan Okasha,Mahmoud Wahba,Eva Fontagnier,Abeer Abdellatef,Hani Haggag,sameh

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World Journal of Gastrointestinal Endoscopy 2022年第8期14卷 502-507页

作者： Hussein Hassan Okasha Mahmoud Wahba Eva Fontagnier Abeer Abdellatef Hani Haggag sameh abouelenin Department of Internal Medicine and Hepatogastroenterology Kasr Al-Aini HospitalsCairo UniversityCairo 11451Egypt Department of Internal Medicine and Gastroenterology Tawam HospitalAl-Ain 00000United Arab Emirates Department of Internal Medicine and Gastroenterology Military Medical AcademyCairo 11451Egypt

BACKGROUND Almost half of the patients with colorectal cancer(CRC)will experience localregional recurrence after standard surgical *** local recurrences of colorectal cancer(LRCC)do not grow intraluminally,and some may be covered by a normal mucosa so that they could be missed by *** detection is crucial as it offers a chance to achieve curative *** ultrasound(EUS)is mainly used in CRC staging combined with cross-section imaging *** can provide an accurate assessment of sub-mucosal lesions by demarcating the originating wall layer and evaluating its *** fineneedle aspiration(FNA)provides the required tissue examination and confirms the *** SUMMARY We report a series of five cases referred to surveillance for LRCC with negative colonoscopy and/or negative endoscopic ***-FNA confirmed LRCC implanted deep into the third and fourth wall layer with normal first and second *** Assessment for LCRR is still problematic and may be very *** and EUSFNA may be useful tools to exclude local recurrence.

关键词： Colorectal cancer Endoscopic ultrasound Local recurrence Fine-needle aspiration Deep implanted CRC Case report

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