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Roles of ERCP in the Early Diagnosis of Pancreatic Cancer
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Endoscopic Ultrasound for Early Diagnosis of Pancreatic Cancer

Department of Gastroenterology, Wakayama Medical University, 811-1 Kimiidera, Wakayama-city, Wakayama 641-0012, Japan
Author to whom correspondence should be addressed.
Diagnostics 2019, 9(3), 81;
Received: 10 June 2019 / Revised: 18 July 2019 / Accepted: 23 July 2019 / Published: 24 July 2019
(This article belongs to the Special Issue Early Diagnosis of Pancreatic Cancer)
Detection of small pancreatic cancers, which have a better prognosis than large cancers, is needed to reduce high mortality rates. Endoscopic ultrasound (EUS) is the most sensitive imaging modality for detecting pancreatic lesions. The high resolution of EUS makes it particularly useful for detecting small pancreatic lesions that may be missed by other imaging modalities. Therefore, EUS should be performed in patients with obstructive jaundice in whom computed tomography (CT) or magnetic resonance imaging (MRI) does not identify a definite pancreatic lesion. Interest in the use of EUS for screening individuals at high risk of pancreatic cancer, including those with intraductal papillary mucinous neoplasms (IPMNs) and familial pancreatic cancer is growing. Contrast-enhanced EUS can facilitate differential diagnosis of small solid pancreatic lesions as well as malignant cystic lesions. In addition, EUS-guided fine needle aspiration can provide samples of small pancreatic lesions. Thus, EUS and EUS-related techniques are essential for early diagnosis of pancreatic cancer. View Full-Text
Keywords: endoscopic ultrasound; contrast-enhanced endoscopic ultrasound; pancreatic cancer endoscopic ultrasound; contrast-enhanced endoscopic ultrasound; pancreatic cancer
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Yoshida, T.; Yamashita, Y.; Kitano, M. Endoscopic Ultrasound for Early Diagnosis of Pancreatic Cancer. Diagnostics 2019, 9, 81.

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