A Transanal Endoscopic Ultrasound-guided Fine-needle Aspiration Biopsy for an Intrapelvic Tumor Diagnosed as Recurrence of a Smooth Muscle Tumor of Uncertain Malignant Potential Following Uterine Morcellation
A transoral endoscopic ultrasound-guided fine-needle aspiration biopsy (EUS-FNAB) is a well-established tissue-sampling method. However, performing a transanal EUS-FNAB remains challenging. Uterine morcellation has emerged as a minimally invasive approach for benign tumor treatment. However, uterine...
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| Veröffentlicht in: | Internal Medicine 2023/05/01, Vol.62(9), pp.1287-1292 |
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| container_title | Internal Medicine |
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| creator | Ban, Tesshin Kubota, Yoshimasa Okubo, Daikoh Murase, Takayuki Takahama, Takuya Sasoh, Shun Tanida, Satoshi Ando, Tomoaki Nakamura, Makoto Joh, Takashi |
| description | A transoral endoscopic ultrasound-guided fine-needle aspiration biopsy (EUS-FNAB) is a well-established tissue-sampling method. However, performing a transanal EUS-FNAB remains challenging. Uterine morcellation has emerged as a minimally invasive approach for benign tumor treatment. However, uterine myomas are heterogeneous and include malignant and indeterminate malignant cells. We herein report a rare case of intrapelvic tumor diagnosed by a transanal EUS-FNAB as a recurrence of smooth muscle tumors of uncertain malignant potential following uterine morcellation. Physicians should be aware that a previous uterine myoma resected under morcellation has the possibility of intra-abdominal recurrence. A transanal EUS-FNAB is a practical option for making a pathological diagnosis. |
| doi_str_mv | 10.2169/internalmedicine.0435-22 |
| format | Article |
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However, performing a transanal EUS-FNAB remains challenging. Uterine morcellation has emerged as a minimally invasive approach for benign tumor treatment. However, uterine myomas are heterogeneous and include malignant and indeterminate malignant cells. We herein report a rare case of intrapelvic tumor diagnosed by a transanal EUS-FNAB as a recurrence of smooth muscle tumors of uncertain malignant potential following uterine morcellation. Physicians should be aware that a previous uterine myoma resected under morcellation has the possibility of intra-abdominal recurrence. A transanal EUS-FNAB is a practical option for making a pathological diagnosis.</description><identifier>ISSN: 0918-2918</identifier><identifier>EISSN: 1349-7235</identifier><identifier>DOI: 10.2169/internalmedicine.0435-22</identifier><identifier>PMID: 36130890</identifier><language>eng</language><publisher>Japan: The Japanese Society of Internal Medicine</publisher><subject>Biopsy ; Case Report ; Endoscopic Ultrasound-Guided Fine Needle Aspiration - adverse effects ; Endoscopic Ultrasound-Guided Fine Needle Aspiration - methods ; Endosonography - methods ; Fibroids ; Humans ; Internal medicine ; Morcellation ; myoma ; recurrence ; Smooth muscle ; Smooth Muscle Tumor - diagnostic imaging ; Smooth Muscle Tumor - surgery ; smooth muscle tumors of uncertain malignant potential ; Transanal Endoscopic Surgery ; transanal EUS-FNAB ; Tumors ; Ultrasound ; uterine morcellation ; Uterus</subject><ispartof>Internal Medicine, 2023/05/01, Vol.62(9), pp.1287-1292</ispartof><rights>2023 by The Japanese Society of Internal Medicine</rights><rights>Copyright Japan Science and Technology Agency 2023</rights><rights>Copyright © 2023 by The Japanese Society of Internal Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c612t-c9b2d495e13ce056361cfac9a5764a4eed7616db18917cc1eca338209744ac5e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10208772/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10208772/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,882,1877,27905,27906,53772,53774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36130890$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ban, Tesshin</creatorcontrib><creatorcontrib>Kubota, Yoshimasa</creatorcontrib><creatorcontrib>Okubo, Daikoh</creatorcontrib><creatorcontrib>Murase, Takayuki</creatorcontrib><creatorcontrib>Takahama, Takuya</creatorcontrib><creatorcontrib>Sasoh, Shun</creatorcontrib><creatorcontrib>Tanida, Satoshi</creatorcontrib><creatorcontrib>Ando, Tomoaki</creatorcontrib><creatorcontrib>Nakamura, Makoto</creatorcontrib><creatorcontrib>Joh, Takashi</creatorcontrib><title>A Transanal Endoscopic Ultrasound-guided Fine-needle Aspiration Biopsy for an Intrapelvic Tumor Diagnosed as Recurrence of a Smooth Muscle Tumor of Uncertain Malignant Potential Following Uterine Morcellation</title><title>Internal Medicine</title><addtitle>Intern. Med.</addtitle><description>A transoral endoscopic ultrasound-guided fine-needle aspiration biopsy (EUS-FNAB) is a well-established tissue-sampling method. However, performing a transanal EUS-FNAB remains challenging. Uterine morcellation has emerged as a minimally invasive approach for benign tumor treatment. However, uterine myomas are heterogeneous and include malignant and indeterminate malignant cells. We herein report a rare case of intrapelvic tumor diagnosed by a transanal EUS-FNAB as a recurrence of smooth muscle tumors of uncertain malignant potential following uterine morcellation. Physicians should be aware that a previous uterine myoma resected under morcellation has the possibility of intra-abdominal recurrence. A transanal EUS-FNAB is a practical option for making a pathological diagnosis.</description><subject>Biopsy</subject><subject>Case Report</subject><subject>Endoscopic Ultrasound-Guided Fine Needle Aspiration - adverse effects</subject><subject>Endoscopic Ultrasound-Guided Fine Needle Aspiration - methods</subject><subject>Endosonography - methods</subject><subject>Fibroids</subject><subject>Humans</subject><subject>Internal medicine</subject><subject>Morcellation</subject><subject>myoma</subject><subject>recurrence</subject><subject>Smooth muscle</subject><subject>Smooth Muscle Tumor - diagnostic imaging</subject><subject>Smooth Muscle Tumor - surgery</subject><subject>smooth muscle tumors of uncertain malignant potential</subject><subject>Transanal Endoscopic Surgery</subject><subject>transanal EUS-FNAB</subject><subject>Tumors</subject><subject>Ultrasound</subject><subject>uterine morcellation</subject><subject>Uterus</subject><issn>0918-2918</issn><issn>1349-7235</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNplkt1uEzEQhVcIREPgFZAlbrjZ4p_9vUKhNKVSAwiSa8vxTjaONvbW9hb1LXmkzjYhgnJjS_Y3x2c8J0kIo-ecFfUHYyN4q7o9NEYbC-c0E3nK-bNkwkRWpyUX-fNkQmtWpRyXs-RVCDtKRVXW_GVyJgomaFXTSfJ7RpZe2aBQjVzaxgXteqPJqoteBTfYJm0H00BD5vhOagGaDsgs9MaraJwln4zrwz3ZOE-UJdcWy3ro7lBiOezx8LNRrXUBBVQgP0AP3oPVQNyGKPJz71zcksUQNKoeCvBihYCPyliyUJ1prbKRfHcRbDTocu66zv0ytiUr_AV0RRbOa-i6R0Ovkxcb1QV4c9ynyWp-ubz4kt58u7q-mN2kumA8prpe8yarc2BCA80L_BG9UbpWeVlkKsM2y4IVzZpVNSu1ZqCVEBWndZllSucgpsnHg24_rHEMGsbOO9l7s1f-Xjpl5L831mxl6-4ko5xWJU5omrw_Knh3O0CIcm_CYx8W3BAkL3HUglOeI_ruCbpzwxgApCqceFVmrESqOlDauxA8bE5uGJVjbuTT3MgxN5KPXt7-3c2p8E9QEPh6AHYhqhZOgPLR4Oz-Vy64rMfl-MIJ1FvlJVjxAJzh5wg</recordid><startdate>20230501</startdate><enddate>20230501</enddate><creator>Ban, Tesshin</creator><creator>Kubota, Yoshimasa</creator><creator>Okubo, Daikoh</creator><creator>Murase, Takayuki</creator><creator>Takahama, Takuya</creator><creator>Sasoh, Shun</creator><creator>Tanida, Satoshi</creator><creator>Ando, Tomoaki</creator><creator>Nakamura, Makoto</creator><creator>Joh, Takashi</creator><general>The Japanese Society of Internal Medicine</general><general>Japan Science and Technology Agency</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20230501</creationdate><title>A Transanal Endoscopic Ultrasound-guided Fine-needle Aspiration Biopsy for an Intrapelvic Tumor Diagnosed as Recurrence of a Smooth Muscle Tumor of Uncertain Malignant Potential Following Uterine Morcellation</title><author>Ban, Tesshin ; Kubota, Yoshimasa ; Okubo, Daikoh ; Murase, Takayuki ; Takahama, Takuya ; Sasoh, Shun ; Tanida, Satoshi ; Ando, Tomoaki ; Nakamura, Makoto ; Joh, Takashi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c612t-c9b2d495e13ce056361cfac9a5764a4eed7616db18917cc1eca338209744ac5e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Biopsy</topic><topic>Case Report</topic><topic>Endoscopic Ultrasound-Guided Fine Needle Aspiration - adverse effects</topic><topic>Endoscopic Ultrasound-Guided Fine Needle Aspiration - methods</topic><topic>Endosonography - methods</topic><topic>Fibroids</topic><topic>Humans</topic><topic>Internal medicine</topic><topic>Morcellation</topic><topic>myoma</topic><topic>recurrence</topic><topic>Smooth muscle</topic><topic>Smooth Muscle Tumor - diagnostic imaging</topic><topic>Smooth Muscle Tumor - surgery</topic><topic>smooth muscle tumors of uncertain malignant potential</topic><topic>Transanal Endoscopic Surgery</topic><topic>transanal EUS-FNAB</topic><topic>Tumors</topic><topic>Ultrasound</topic><topic>uterine morcellation</topic><topic>Uterus</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ban, Tesshin</creatorcontrib><creatorcontrib>Kubota, Yoshimasa</creatorcontrib><creatorcontrib>Okubo, Daikoh</creatorcontrib><creatorcontrib>Murase, Takayuki</creatorcontrib><creatorcontrib>Takahama, Takuya</creatorcontrib><creatorcontrib>Sasoh, Shun</creatorcontrib><creatorcontrib>Tanida, Satoshi</creatorcontrib><creatorcontrib>Ando, Tomoaki</creatorcontrib><creatorcontrib>Nakamura, Makoto</creatorcontrib><creatorcontrib>Joh, Takashi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Internal Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ban, Tesshin</au><au>Kubota, Yoshimasa</au><au>Okubo, Daikoh</au><au>Murase, Takayuki</au><au>Takahama, Takuya</au><au>Sasoh, Shun</au><au>Tanida, Satoshi</au><au>Ando, Tomoaki</au><au>Nakamura, Makoto</au><au>Joh, Takashi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Transanal Endoscopic Ultrasound-guided Fine-needle Aspiration Biopsy for an Intrapelvic Tumor Diagnosed as Recurrence of a Smooth Muscle Tumor of Uncertain Malignant Potential Following Uterine Morcellation</atitle><jtitle>Internal Medicine</jtitle><addtitle>Intern. Med.</addtitle><date>2023-05-01</date><risdate>2023</risdate><volume>62</volume><issue>9</issue><spage>1287</spage><epage>1292</epage><pages>1287-1292</pages><artnum>0435-22</artnum><issn>0918-2918</issn><eissn>1349-7235</eissn><abstract>A transoral endoscopic ultrasound-guided fine-needle aspiration biopsy (EUS-FNAB) is a well-established tissue-sampling method. However, performing a transanal EUS-FNAB remains challenging. Uterine morcellation has emerged as a minimally invasive approach for benign tumor treatment. However, uterine myomas are heterogeneous and include malignant and indeterminate malignant cells. We herein report a rare case of intrapelvic tumor diagnosed by a transanal EUS-FNAB as a recurrence of smooth muscle tumors of uncertain malignant potential following uterine morcellation. Physicians should be aware that a previous uterine myoma resected under morcellation has the possibility of intra-abdominal recurrence. 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| ispartof | Internal Medicine, 2023/05/01, Vol.62(9), pp.1287-1292 |
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| language | eng |
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| source | MEDLINE; PubMed Central Open Access; J-STAGE (Japan Science & Technology Information Aggregator, Electronic) Freely Available Titles - Japanese; PubMed Central |
| subjects | Biopsy Case Report Endoscopic Ultrasound-Guided Fine Needle Aspiration - adverse effects Endoscopic Ultrasound-Guided Fine Needle Aspiration - methods Endosonography - methods Fibroids Humans Internal medicine Morcellation myoma recurrence Smooth muscle Smooth Muscle Tumor - diagnostic imaging Smooth Muscle Tumor - surgery smooth muscle tumors of uncertain malignant potential Transanal Endoscopic Surgery transanal EUS-FNAB Tumors Ultrasound uterine morcellation Uterus |
| title | A Transanal Endoscopic Ultrasound-guided Fine-needle Aspiration Biopsy for an Intrapelvic Tumor Diagnosed as Recurrence of a Smooth Muscle Tumor of Uncertain Malignant Potential Following Uterine Morcellation |
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