Endoscopic ultrasound-guided fine-needle tattooing (EUS-FNT) is an ideal technique
for preoperative marking of lesions detected on preoperative examination. Although
India ink has been used for endoscopic tattooing, there have been numerous reports
of complications associated with its use. This is the first report of EUS-FNT using
indocyanine green (ICG) and describes its use for preoperative marking of a tumor
in a 78-year-old man with multiple pancreatic tumors. There were no complications
associated with the EUS-FNT procedure and it is suggested that ICG is a more suitable
dye for tattooing of pancreatic lesions than India ink, being far less frequently
associated with side effects.
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K. Yamao, M. D.
Department of Gastroenterology, Aichi Cancer Center Hospital
1-1 Kanokoden · Chikusa-ku · Nagoya 464-8681 · Japan
Fax: +81-52-763-5233
eMail: kyamao@aichi-cc.jp