Endoscopic Ultrasound-Guided Sampling for Personalized Pancreatic Cancer Treatment

Eisuke Iwasaki1, Seiichiro Fukuhara2, Masayasu Horibe1

  • 1Division of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine 35, Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan.

Insights

Personalized medicine, including endoscopic ultrasound-guided sampling and genomic testing, offers new hope for treating pancreatic cancer, a lethal malignancy with limited treatment options.

Area of Science:

  • Oncology
  • Gastroenterology
  • Precision Medicine

Background:

  • Pancreatic cancer is a highly lethal malignancy with increasing incidence.
  • Current systemic chemotherapies are often ineffective, highlighting the need for novel treatments.
  • Personalized medicine approaches for pancreatic cancer are still under development.

Purpose of the Study:

  • To review advances in personalized medicine for pancreatic cancer.
  • To explore the role of endoscopic ultrasound (EUS)-guided sampling in personalized treatment strategies.
  • To discuss the potential of integrating genomic testing and drug sensitivity profiling for improved patient outcomes.

Main Methods:

  • Review of current literature on pancreatic cancer treatment and personalized medicine.
  • Examination of the application of endoscopic ultrasound (EUS)-guided sampling in diagnostics and tissue acquisition.
  • Analysis of high-throughput drug sensitivity testing using patient-derived organoids.

Main Results:

  • Endoscopic ultrasound (EUS)-guided sampling is a valuable tool for pancreatic tumor diagnosis and tissue collection.
  • Clinical research utilizing EUS-guided sampling for pancreatic cancer is expanding.
  • Genomic testing and organoid-based drug sensitivity profiling show promise for personalized treatment.

Conclusions:

  • Advances in personalized medicine, particularly EUS-guided sampling and precision oncology, are crucial for improving pancreatic cancer outcomes.
  • Integrating genomic data with pharmacological profiles from patient-derived organoids is expected to revolutionize pancreatic cancer treatment.
  • Further research and clinical application of these personalized approaches are necessary to combat this lethal disease.