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KMID : 1038120210540040613
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Clinical Endoscopy
2021 Volume.54 No. 4 p.613 ~ p.617
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Micro-Biopsy Forceps in the Assessment of Peritoneal Carcinomatosis: A Possible New Indication?
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Binda Cecilia
Dabizzi Emanuele
Sinagra Emanuele
Fornelli Adele
Saragoni Luca
Cennamo Vincenzo
Anderloni Andrea
Fabbri Carlo
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Abstract
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Peritoneal carcinomatosis (PC) is defined as a metastatic involvement of the peritoneum by several other primary sites and it is characterized by a marked worsening of prognosis, with limited treatment opportunities. Subsequently, PC should be ruled out before any invasive treatment is administered. A new through-the-needle micro-biopsy forceps (MF) was recently introduced that permits micro-histology cores. In this case series, we evaluated the feasibility of MF in the assessment of PC to complete patient diagnostic work-ups. Five consecutive patients referred for endoscopic ultrasound staging were sampled using MF. Sampling was feasible in all patients with a technical success of 100%. No adverse events were reported in any cases. This technique was feasible and safe with a technical success rate of 100%. It permitted sampling of peritoneal irregularity, obtained high-quality tissue fragments in all cases, and enabled an additional assessment, i.e., immunohistochemical staining.
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KEYWORD
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Carcinomatosis, Endoscopic ultrasonography, Fine needle biopsy, Peritoneum
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