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03-01-2024 | Focal Nodular Hyperplasia | Case Report

Endoscopic ultrasound-guided tissue acquisition for focal liver lesions in the caudate lobe: a report of seven cases

Authors: Yuichi Takano, Masataka Yamawaki, Jun Noda, Dai Matsubara, Tetsushi Azami, Fumitaka Niiya, Fumiya Nishimoto, Naotaka Maruoka, Tatsuya Yamagami, Masatsugu Nagahama

Published in: Clinical Journal of Gastroenterology | Issue 2/2024

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Abstract

The caudate lobe of the liver is located deep within the body and surrounded by major blood vessels, such as inferior vena cava, portal vein, and hepatic veins. Thus, percutaneous biopsy is technically challenging. Herein, we report seven patients with focal liver lesions in the caudate lobe who underwent endoscopic ultrasound-guided tissue acquisition (EUS-TA). Their median age was 56 (25–79) years, consisting five males and two females, and the median lesion size was 44 (19–77) mm. Transgastric EUS-TA was performed in all patients. The needles used were 22G and 25G in six patients and one patient, and the median procedure time was 18 (13–30) min. In all patients, adequate specimens were collected, and pathological diagnosis was possible (three intrahepatic cholangiocarcinoma, two metastatic tumors from pancreatic cancer, one hepatocellular carcinoma, and one focal nodular hyperplasia). No adverse events associated with the procedure were observed. EUS-TA can be the first choice for tissue acquisition of the caudate lobe lesions.
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Metadata
Title
Endoscopic ultrasound-guided tissue acquisition for focal liver lesions in the caudate lobe: a report of seven cases
Authors
Yuichi Takano
Masataka Yamawaki
Jun Noda
Dai Matsubara
Tetsushi Azami
Fumitaka Niiya
Fumiya Nishimoto
Naotaka Maruoka
Tatsuya Yamagami
Masatsugu Nagahama
Publication date
03-01-2024
Publisher
Springer Nature Singapore
Published in
Clinical Journal of Gastroenterology / Issue 2/2024
Print ISSN: 1865-7257
Electronic ISSN: 1865-7265
DOI
https://doi.org/10.1007/s12328-023-01906-7

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