ENDOSCOPIC ULTRASOUND ELASTOGRAPHY IN ASSESSMENT OF LYMPH NODES IN PATIENTS WITH HEPATOCELLULAR CARCINOMA PREPARED FOR LIVING DONOR LIVER TRANSPLANTATION
MAHMOUD, A., REDA, M., IBRAHIM, A., SALAH-ELDIN, M. (2023). ENDOSCOPIC ULTRASOUND ELASTOGRAPHY IN ASSESSMENT OF LYMPH NODES IN PATIENTS WITH HEPATOCELLULAR CARCINOMA PREPARED FOR LIVING DONOR LIVER TRANSPLANTATION. EKB Journal Management System, 53(3), 443-450. doi: 10.21608/jesp.2023.331729
ABDELAZIZ AHMED ABDELAZIZ MAHMOUD; MOHGA ALI REDA; AMANY AHMED IBRAHIM; MANAR MOHAMED SALAH-ELDIN. "ENDOSCOPIC ULTRASOUND ELASTOGRAPHY IN ASSESSMENT OF LYMPH NODES IN PATIENTS WITH HEPATOCELLULAR CARCINOMA PREPARED FOR LIVING DONOR LIVER TRANSPLANTATION". EKB Journal Management System, 53, 3, 2023, 443-450. doi: 10.21608/jesp.2023.331729
MAHMOUD, A., REDA, M., IBRAHIM, A., SALAH-ELDIN, M. (2023). 'ENDOSCOPIC ULTRASOUND ELASTOGRAPHY IN ASSESSMENT OF LYMPH NODES IN PATIENTS WITH HEPATOCELLULAR CARCINOMA PREPARED FOR LIVING DONOR LIVER TRANSPLANTATION', EKB Journal Management System, 53(3), pp. 443-450. doi: 10.21608/jesp.2023.331729
MAHMOUD, A., REDA, M., IBRAHIM, A., SALAH-ELDIN, M. ENDOSCOPIC ULTRASOUND ELASTOGRAPHY IN ASSESSMENT OF LYMPH NODES IN PATIENTS WITH HEPATOCELLULAR CARCINOMA PREPARED FOR LIVING DONOR LIVER TRANSPLANTATION. EKB Journal Management System, 2023; 53(3): 443-450. doi: 10.21608/jesp.2023.331729

ENDOSCOPIC ULTRASOUND ELASTOGRAPHY IN ASSESSMENT OF LYMPH NODES IN PATIENTS WITH HEPATOCELLULAR CARCINOMA PREPARED FOR LIVING DONOR LIVER TRANSPLANTATION

Journal of the Egyptian Society of Parasitology
Article 5, Volume 53, Issue 3, December 2023, Page 443-450  XML PDF (782.59 K)
Document Type: Original Article
DOI: 10.21608/jesp.2023.331729
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Authors
ABDELAZIZ AHMED ABDELAZIZ MAHMOUD1; MOHGA ALI REDA1; AMANY AHMED IBRAHIM1; MANAR MOHAMED SALAH-ELDIN2
1Department Tropical Medicine, Faculty of Medicine, Ain Shams University
2Ain Shams Center of Organ Transplantation
Abstract
Lymph nodes are the most frequent site of extrahepatic metastases for hepatocellular carcinoma
(HCC). Lymph node metastasis determines patient’s management, distinguishing surgical
ones from those best suited for non-surgical management. Diagnosis cannot be completely
confirmed by imaging and operative exploration. Endoscopic ultrasound elastography
(EUS-EG) has a marked role in assessment of lymph nodes in HCC patients and optimizing
their management accordingly.
This study assessed diagnostic accuracy of EUS-EG in suspected lymph nodes in HCC potential
candidates for living donor liver transplantation (LDLT) and identifued its role in diagnosis
and staging of hepatocellular carcinoma.
The study was conducted at the Tropical Medicine department, Ain Shams University, Ain
Shams Center of Organ Transplantation (ASCOT) and Endoscopy Unit, Theodor Bilharz Research
Institute between July 2018 & May2023. The patients 24 with HCC and abdominal
lymphadenopathy were prepared for LDLT. Liver function tests, Positron emission tomography
(PET) scan, EUS-EG, EUS- guided fine needle aspiration (EUS-FNA).
The results showed the prevalence of metastatic lymph nodes by EUS-FNA was 41.7%.
EUS-EG and PET scan had same sensitivity of 80.0% in detecting metastatic lymph nodes.
But, EUS-EG had a higher specificity 85.7% compared to 57.1% specificity of PET scan.
Keywords
HCC; Lymph node metastasis; Living donor liver Transplantation; EUS-EG
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