Endoscopic ultrasound for the diagnosis and treatment of primary hepatocellular carcinoma.
J Dig Dis
; 25(3): 156-162, 2024 Mar.
Article
in En
| MEDLINE
| ID: mdl-38628105
ABSTRACT
Chronic liver disease has emerged as a significant global concern, with primary hepatocellular carcinoma (HCC) representing a critical consequence of this disease. However, early detection of HCC remains challenging in clinical practice. Recently, there has been a growing interest in applying endoscopic ultrasound (EUS) as a diagnostic tool for gastrointestinal diseases. Nevertheless, using EUS to diagnose and treat HCC is uncommon. In this review we described the diagnostic and therapeutic applications of EUS in primary HCC and evaluated its clinical significance. The diagnostic procedures primarily involve EUS-guided fine-needle biopsy or aspiration, assessment of metastatic lymph nodes and portal vein thrombosis, portal pressure monitoring, and portal vein blood collection. Treatment mainly includes EUS-guided tumor ablation, brachytherapy, injectable chemotherapy, and managing variceal hemorrhage related to portal hypertension.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Carcinoma, Hepatocellular
/
Endosonography
/
Liver Neoplasms
Limits:
Humans
Language:
En
Journal:
J Dig Dis
/
J. dig. dis
/
Journal of digestive diseases
Year:
2024
Document type:
Article
Affiliation country:
China
Country of publication:
Australia