超声内镜引导下细针穿刺标本建立胰腺癌类器官:一项前瞻性先导研究

Jie Yang, Shu Zhang, Yanni Zhu, Guifang Xu, Song Zhang, C. Peng, Jun Yang, Lei Wang, X. Zou, Ying Lyu
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引用次数: 0

摘要

目的探讨内镜超声引导下建立人癌症三维类器官的可行性。方法前瞻性纳入2017年6月至2018年1月的9例疑似胰腺肿块患者。进行EUS-FNA进行初步诊断。从用于类器官建立的COOK 22规格FNA针中获得活检组织,并观察体外生长状态。结果入选9例EUS-FNA胰腺病变标本。5例成功建立了类器官,经组织病理学证实均为癌症。在生成过程中,类器官的生长速率相应增加。HE染色显示这些类器官的病理形态与相应的胰腺组织相似。结论应用EUS-FNA可成功制备癌症类器官。这些类器官的建立可以为癌症患者提供良好的模型来指导精确治疗。关键词:胰腺导管癌;内镜超声引导下的细针抽吸;类器官;精准医学
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Establishment of pancreatic cancer organoids with endoscopic ultrasonography-guided fine-needle aspiration specimen: a prospective pilot study
Objective To study the feasibility of establishing human 3D pancreatic cancer organoids with endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) specimen. Methods A total of 9 patients with suspected pancreatic masses were prospectively included in this study from June 2017 to January 2018. EUS-FNA was performed for initial diagnosis. The biopsy tissues were obtained from a COOK 22-gauge FNA needle for organoid establishment, and the growth status in vitro was observed. Results Nine specimens of pancreatic lesions obtained from EUS-FNA were enrolled. Successful establishment of organoids was achieved in 5 cases, which were all confirmed to be pancreatic cancer histopathologically. In the process of generating, the growth rate of organoids increased correspondingly. The pathological morphology of these organoids was similar to the corresponding pancreatic tissues in HE staining. Conclusion Pancreatic cancer organoids can be successfully created by means of EUS-FNA. Establishment of these organoids can potentially provide excellent models for patients with pancreatic cancer in guiding precision treatment. Key words: Carcinoma, pancreatic ductal; Endoscopic ultrasonography-guided fine-needle aspiration; Organoid; Precision medicine
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期刊介绍: Chinese Journal of Digestive Endoscopy is a high-level medical academic journal specializing in digestive endoscopy, which was renamed Chinese Journal of Digestive Endoscopy in August 1996 from Endoscopy. Chinese Journal of Digestive Endoscopy mainly reports the leading scientific research results of esophagoscopy, gastroscopy, duodenoscopy, choledochoscopy, laparoscopy, colorectoscopy, small enteroscopy, sigmoidoscopy, etc. and the progress of their equipments and technologies at home and abroad, as well as the clinical diagnosis and treatment experience. The main columns are: treatises, abstracts of treatises, clinical reports, technical exchanges, special case reports and endoscopic complications. The target readers are digestive system diseases and digestive endoscopy workers who are engaged in medical treatment, teaching and scientific research. Chinese Journal of Digestive Endoscopy has been indexed by ISTIC, PKU, CSAD, WPRIM.
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