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Current Treatment Options in Gastroenterology

15.03.2024

The Diagnostic Approach of Benign Esophageal Tumors: A Narrative Review

verfasst von: Alex R. Jones, MD, Preksha Vankawala, MD, Tarek Sawas, MD, MPH

Erschienen in: Current Treatment Options in Gastroenterology

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Abstract

Purpose of Review

Benign esophageal tumors (BETs) pose diagnostic challenges due to overlapping clinical and imaging features, necessitating advancements in diagnostic techniques. Distinguishing between tumors with and without malignant potential is essential to guide management. We aim to review the diagnostic approach to BETs with an emphasis on recent advances.

Recent Findings

EUS-guided tissue acquisition is the current gold standard, particularly in subepithelial lesions (SELs). EUS with fine-needle biopsy (FNB) is considered superior to fine-needle aspiration (FNA), unless rapid on-site evaluation (ROSE) is available. The influence of needle size and suction technique has limited impact on the tissue sample quality. Mucosal-incision–assisted biopsy aims to improve diagnostic yield for smaller SELs and improve accessibility of diagnostic techniques. Recent studies assessing integration of artificial intelligence have shown promise in improving diagnostic accuracy.

Summary

Retrospective data shows promise for technologies intended to improve both non-invasive and invasive modalities for the diagnosis of BETs. Future research should aim to prospectively explore these strategies and include lesions throughout the gastrointestinal tract.

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Titel: The Diagnostic Approach of Benign Esophageal Tumors: A Narrative Review
verfasst von: Alex R. Jones, MD
Preksha Vankawala, MD
Tarek Sawas, MD, MPH
Publikationsdatum: 15.03.2024
Verlag: Springer US
Erschienen in: Current Treatment Options in Gastroenterology
Print ISSN: 1092-8472
Elektronische ISSN: 1534-309X
DOI: https://doi.org/10.1007/s11938-024-00443-7

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