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Ablation of Tumor Using EUS

  • Hyoung-Chul Oh
  • Woo Hyun Paik
  • Tae Jun Song
  • Dong Wan Seo
Chapter

Abstract

EUS started as an imaging tool for deeply seated organ and pathology. After introduction of EUS-guided fine needle aspiration (FNA), EUS became an important tool for histologic diagnosis of pancreatic, peripancreatic, mediastinal, retroperitoneal, and gastrointestinal tract lesions. Therapeutic and interventional EUS started by modification of EUS-FNA technology and EUS-guided pseudocyst drainage is increasingly used for the management of pancreatic pseudocyst. EUS-guided ablation of pancreatic solid mass is also tried by ethanol injection. Radiofrequency ablation has long been used to ablate hepatic tumors via percutaneous route. Recently, EUS-guided RFA probe was introduced and is cautiously applied for the ablation of pancreatic solid tumors. EUS-guided pancreatic cyst ablation has been investigated in a variety of clinical studies. EUS-guided pancreatic cyst ablation is safe and feasible and shows potential to become an alternative to surgery. In this chapter, EUS-guided ablation of pancreatic cysts, EUS-guided injection therapy of benign solid mass, and EUS-guided RFA will be discussed.

Keywords

Endoscopic ultrasonography Pancreatic cyst Ablation 

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Copyright information

© Springer Japan KK, part of Springer Nature 2019

Authors and Affiliations

  • Hyoung-Chul Oh
    • 1
  • Woo Hyun Paik
    • 2
  • Tae Jun Song
    • 3
  • Dong Wan Seo
    • 3
  1. 1.Division of GastroenterologyChung-Ang University College of MedicineSeoulKorea
  2. 2.Department of Internal MedicineSeoul National University HospitalSeoulKorea
  3. 3.Department of Internal MedicineUniversity of Ulsan College of Medicine, Asan Medical CenterSeoulKorea

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