Endoscopic Ultrasound-Guided Sampling for Personalized Pancreatic Cancer Treatment

Pancreatic cancer is the most lethal solid malignancy, and the number of patients with pancreatic cancer is increasing. Systemic chemotherapies are often ineffective for such patients, and there is an urgent need for personalized medicine. Unlike other types of cancer, personalized treatments for pa...

Full description

Bibliographic Details
Main Authors: Eisuke Iwasaki, Seiichiro Fukuhara, Masayasu Horibe, Shintaro Kawasaki, Takashi Seino, Yoichi Takimoto, Hiroki Tamagawa, Yujiro Machida, Atsuto Kayashima, Marin Noda, Hideyuki Hayashi, Takanori Kanai
Format: Article
Language:English
Published: MDPI AG 2021-03-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/11/3/469
_version_ 1797412522657054720
author Eisuke Iwasaki
Seiichiro Fukuhara
Masayasu Horibe
Shintaro Kawasaki
Takashi Seino
Yoichi Takimoto
Hiroki Tamagawa
Yujiro Machida
Atsuto Kayashima
Marin Noda
Hideyuki Hayashi
Takanori Kanai
author_facet Eisuke Iwasaki
Seiichiro Fukuhara
Masayasu Horibe
Shintaro Kawasaki
Takashi Seino
Yoichi Takimoto
Hiroki Tamagawa
Yujiro Machida
Atsuto Kayashima
Marin Noda
Hideyuki Hayashi
Takanori Kanai
author_sort Eisuke Iwasaki
collection DOAJ
description Pancreatic cancer is the most lethal solid malignancy, and the number of patients with pancreatic cancer is increasing. Systemic chemotherapies are often ineffective for such patients, and there is an urgent need for personalized medicine. Unlike other types of cancer, personalized treatments for pancreatic cancer are still in development. Consequently, pancreatic cancer is less sensitive to anticancer drugs and is often refractory to common treatments. Therefore, advances in personalized medicine for pancreatic cancer are necessary. This review examined advances in personalized medicine for pancreatic cancer, including the use of endoscopic ultrasound (EUS)-guided sampling. EUS-guided sampling is widely used for diagnosing pancreatic tumors and is expected to be applied to sampled tissues. Additionally, there has been an increase in clinical research using EUS-guided sampling. The combination of precision medicine using genomic testing and pharmacological profiles based on high-throughput drug sensitivity testing using patient-derived organoids is expected to revolutionize pancreatic cancer treatment.
first_indexed 2024-03-09T05:03:58Z
format Article
id doaj.art-61af74135de04588859bf7f3fec58e2e
institution Directory Open Access Journal
issn 2075-4418
language English
last_indexed 2024-03-09T05:03:58Z
publishDate 2021-03-01
publisher MDPI AG
record_format Article
series Diagnostics
spelling doaj.art-61af74135de04588859bf7f3fec58e2e2023-12-03T12:57:08ZengMDPI AGDiagnostics2075-44182021-03-0111346910.3390/diagnostics11030469Endoscopic Ultrasound-Guided Sampling for Personalized Pancreatic Cancer TreatmentEisuke Iwasaki0Seiichiro Fukuhara1Masayasu Horibe2Shintaro Kawasaki3Takashi Seino4Yoichi Takimoto5Hiroki Tamagawa6Yujiro Machida7Atsuto Kayashima8Marin Noda9Hideyuki Hayashi10Takanori Kanai11Division of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine 35, Shinanomachi, Shinjuku-ku, Tokyo 160-8582, JapanCenter for Diagnostic and Therapeutic Endoscopy, Keio University School of Medicine 35, Shinanomachi, Shinjuku-ku, Tokyo 160-8582, JapanDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine 35, Shinanomachi, Shinjuku-ku, Tokyo 160-8582, JapanDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine 35, Shinanomachi, Shinjuku-ku, Tokyo 160-8582, JapanDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine 35, Shinanomachi, Shinjuku-ku, Tokyo 160-8582, JapanDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine 35, Shinanomachi, Shinjuku-ku, Tokyo 160-8582, JapanDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine 35, Shinanomachi, Shinjuku-ku, Tokyo 160-8582, JapanDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine 35, Shinanomachi, Shinjuku-ku, Tokyo 160-8582, JapanDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine 35, Shinanomachi, Shinjuku-ku, Tokyo 160-8582, JapanDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine 35, Shinanomachi, Shinjuku-ku, Tokyo 160-8582, JapanKeio Cancer Center, Genomic Units, Keio University School of Medicine 35, Shinanomachi, Shinjuku-ku, Tokyo 160-8582, JapanDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine 35, Shinanomachi, Shinjuku-ku, Tokyo 160-8582, JapanPancreatic cancer is the most lethal solid malignancy, and the number of patients with pancreatic cancer is increasing. Systemic chemotherapies are often ineffective for such patients, and there is an urgent need for personalized medicine. Unlike other types of cancer, personalized treatments for pancreatic cancer are still in development. Consequently, pancreatic cancer is less sensitive to anticancer drugs and is often refractory to common treatments. Therefore, advances in personalized medicine for pancreatic cancer are necessary. This review examined advances in personalized medicine for pancreatic cancer, including the use of endoscopic ultrasound (EUS)-guided sampling. EUS-guided sampling is widely used for diagnosing pancreatic tumors and is expected to be applied to sampled tissues. Additionally, there has been an increase in clinical research using EUS-guided sampling. The combination of precision medicine using genomic testing and pharmacological profiles based on high-throughput drug sensitivity testing using patient-derived organoids is expected to revolutionize pancreatic cancer treatment.https://www.mdpi.com/2075-4418/11/3/469EUS-guided samplingpancreatic cancerpatient-derived organoidprecision medicine
spellingShingle Eisuke Iwasaki
Seiichiro Fukuhara
Masayasu Horibe
Shintaro Kawasaki
Takashi Seino
Yoichi Takimoto
Hiroki Tamagawa
Yujiro Machida
Atsuto Kayashima
Marin Noda
Hideyuki Hayashi
Takanori Kanai
Endoscopic Ultrasound-Guided Sampling for Personalized Pancreatic Cancer Treatment
Diagnostics
EUS-guided sampling
pancreatic cancer
patient-derived organoid
precision medicine
title Endoscopic Ultrasound-Guided Sampling for Personalized Pancreatic Cancer Treatment
title_full Endoscopic Ultrasound-Guided Sampling for Personalized Pancreatic Cancer Treatment
title_fullStr Endoscopic Ultrasound-Guided Sampling for Personalized Pancreatic Cancer Treatment
title_full_unstemmed Endoscopic Ultrasound-Guided Sampling for Personalized Pancreatic Cancer Treatment
title_short Endoscopic Ultrasound-Guided Sampling for Personalized Pancreatic Cancer Treatment
title_sort endoscopic ultrasound guided sampling for personalized pancreatic cancer treatment
topic EUS-guided sampling
pancreatic cancer
patient-derived organoid
precision medicine
url https://www.mdpi.com/2075-4418/11/3/469
work_keys_str_mv AT eisukeiwasaki endoscopicultrasoundguidedsamplingforpersonalizedpancreaticcancertreatment
AT seiichirofukuhara endoscopicultrasoundguidedsamplingforpersonalizedpancreaticcancertreatment
AT masayasuhoribe endoscopicultrasoundguidedsamplingforpersonalizedpancreaticcancertreatment
AT shintarokawasaki endoscopicultrasoundguidedsamplingforpersonalizedpancreaticcancertreatment
AT takashiseino endoscopicultrasoundguidedsamplingforpersonalizedpancreaticcancertreatment
AT yoichitakimoto endoscopicultrasoundguidedsamplingforpersonalizedpancreaticcancertreatment
AT hirokitamagawa endoscopicultrasoundguidedsamplingforpersonalizedpancreaticcancertreatment
AT yujiromachida endoscopicultrasoundguidedsamplingforpersonalizedpancreaticcancertreatment
AT atsutokayashima endoscopicultrasoundguidedsamplingforpersonalizedpancreaticcancertreatment
AT marinnoda endoscopicultrasoundguidedsamplingforpersonalizedpancreaticcancertreatment
AT hideyukihayashi endoscopicultrasoundguidedsamplingforpersonalizedpancreaticcancertreatment
AT takanorikanai endoscopicultrasoundguidedsamplingforpersonalizedpancreaticcancertreatment