Conceptos Categóricos

UTILIDAD DE LA ULTRASONOGRAFIA ENDOSCOPICA EN EL DIAGNOSTICO DE LOS LINFOMAS

UTILIDAD DE LA ULTRASONOGRAFIA ENDOSCOPICA EN EL DIAGNOSTICO DE LOS LINFOMAS

(especial para SIIC © Derechos reservados)
La ecoendoscopia es útil para la estadificación de los linfomas gastrointestinales, así como para el diagnóstico de linfomas localizados en órganos o de adenopatías de difícil acceso cuando se acompaña del análisis citológico del material obtenido mediante punción aspiración con aguja fina o biopsia.
Autor:
Antonio Z Gimeno-garcia
Columnista Experto de SIIC

Institución:
Hospital Universitario de Canarias


Artículos publicados por Antonio Z Gimeno-garcia
Coautores
Noemi Hernandez Alvarez buylla* Adolfo Ortega Sánchez* Enrique Quintero* 
Hospital Universitario de Canarias, Santa Cruz de Tenerife, España*
Recepción del artículo
27 de Marzo, 2013
Aprobación
1 de Junio, 2013
Primera edición
5 de Marzo, 2013
Segunda edición, ampliada y corregida
12 de Febrero, 2014

Resumen
La ecoendoscopía digestiva es una herramienta de gran utilidad para el diagnóstico y estadificación de las neoplasias digestivas, así como para aquellas que comprometen estructuras cercanas al tracto digestivo. Los linfomas son neoplasias que albergan una elevada dificultad diagnóstica, y ello se debe a la íntima relación entre el subtipo histológico y la respuesta al tratamiento quimioterapéutico. De esta forma, un diagnóstico preciso es fundamental en el manejo de la enfermedad. Mientras que la mayoría de los linfomas gastrointestinales pueden ser diagnosticados y subclasificados a partir de biopsias endoscópicas, los que afectan a órganos o adenopatías de difícil acceso requieren con frecuencia maniobras invasivas para la obtención de una muestra histológica adecuada. La ecoendoscopía ha demostrado su utilidad en la estadificación de linfomas gastrointestinales y, además, puede ser útil en el diagnóstico de linfomas localizados en órganos o adenopatías de difícil acceso cuando se acompaña del análisis citológico obtenido mediante punción aspiración con aguja fina o biopsia. En este artículo se revisa el papel de la ecoendoscopía digestiva en linfomas gastrointestinales, pancreáticos, esplénicos o nodales.

Palabras clave
ultrasonografía endoscópica, linfoma, punción aspiración con aguja fina


Artículo completo

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Abstract
Endoscopic ultrasound is a useful tool in the diagnosis and staging of gastrointestinal neoplasms, as well as in those that involve structures in the vicinity of the digestive tract. Lymphomas are tumors that reveal a high diagnostic difficulty because of the close relationship between the histological subtype and the response to chemotherapy. Therefore, an accurate diagnosis is crucial in the management of the disease. Whereas most gastrointestinal lymphomas are diagnosed and sub-classified using endoscopic biopsies, those involving deep-seated organs or lymph nodes often require invasive procedures to obtain an adequate histological specimen. Endoscopic ultrasound has proven to be accurate in the staging of gastrointestinal lymphomas and may be useful in diagnosing deep-seated lymphoma when fine needle aspiration cytology or biopsy is performed. This manuscript reviews the role of endoscopic ultrasound in gastrointestinal, pancreatic, splenic or nodal lymphoma.

Key words
endoscopic ultrasound, lymphoma, fine needle aspiration cytology


Clasificación en siicsalud
Artículos originales > Expertos de Iberoamérica >
página   www.siicsalud.com/des/expertocompleto.php/

Especialidades
Principal: Diagnóstico por Imágenes, Hematología
Relacionadas: Anatomía Patológica, Diagnóstico por Imágenes, Gastroenterología, Medicina Interna, Oncología



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Enviar correspondencia a:
Antonio Z Gimeno-García, Hospital Universitario de Canarias. Unidad de Endoscopia (10ª planta). Departamento de Gastroenterología, 38004, C/ Duggi nº 44. 4º piso, Islas Canarias, España
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