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

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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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Authors and Affiliations

  1. Division of Gastroenterology, Department of Internal Medicine, Showa University Fujigaoka Hospital, 1-30 Fujigaoka, Aoba-Ku, Yokohama-Shi, Kanagawa, 227-8501, Japan

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

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  1. Yuichi Takano
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  2. Masataka Yamawaki
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  3. Jun Noda
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  4. Dai Matsubara
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  5. Tetsushi Azami
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  6. Fumitaka Niiya
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  7. Fumiya Nishimoto
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  8. Naotaka Maruoka
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  9. Tatsuya Yamagami
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  10. Masatsugu Nagahama
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Correspondence to Yuichi Takano.

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Takano, Y., Yamawaki, M., Noda, J. et al. Endoscopic ultrasound-guided tissue acquisition for focal liver lesions in the caudate lobe: a report of seven cases. Clin J Gastroenterol 17, 334–337 (2024). https://doi.org/10.1007/s12328-023-01906-7

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  • DOI: https://doi.org/10.1007/s12328-023-01906-7

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