The Utility of Lower Endoscopic Ultrasound-guided Fine Needle Aspiration for the Diagnosis of Benign and Malignant Pelvic Diseases
| Autor: | Tuba Esfandyari, Melissa Oropeza-Vail, Elena Sidorenko, Fadi Rzouq, Jesica Brown, Fang Fan, Richard Gilroy, Mojtaba Olyaee, John Bonino |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Male
Endoscopic ultrasound Urologic Neoplasms medicine.medical_specialty Gastrointestinal Stromal Tumors Surgical pathology Predictive Value of Tests Positive predicative value Humans Medicine Sampling (medicine) skin and connective tissue diseases Endoscopic Ultrasound-Guided Fine Needle Aspiration Gastrointestinal Neoplasms Retrospective Studies medicine.diagnostic_test Cysts business.industry Carcinoma Gastroenterology Retrospective cohort study Gold standard (test) Abscess digestive system diseases Endometrial Neoplasms body regions surgical procedures operative Fine-needle aspiration Lymphatic Metastasis Predictive value of tests Colonic Neoplasms Female Lymph Nodes Radiology business |
| Zdroj: | Journal of Clinical Gastroenterology. 48:127-130 |
| ISSN: | 0192-0790 |
| DOI: | 10.1097/mcg.0b013e3182951a72 |
| Popis: | Background The utility of endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) for the diagnosis of pelvic masses has been suggested but limited data are available in the literature regarding its diagnostic accuracy. Goals To report our institutional experience with EUS-FNA for the diagnosis of a variety of pelvic diseases. Methods Patients who were referred for the evaluation of pelvic lesions using lower EUS-FNA were included in this retrospective analysis if they had available surgical pathology (obtained after EUS) which was considered the gold standard against which the EUS-FNA findings would have been compared. The diagnostic accuracy of EUS-FNA for pelvic masses was analyzed and any early or late complications after the procedure were reported. A pelvic mass was defined in the study as any mass seen with an imaging modality in the pelvic area including those involving the colonic wall. Results Twenty patients had EUS-FNA followed by surgery for whom FNA cytology and surgical pathology findings were available. EUS-FNA reached the correct diagnosis in 19 out of 20 patients, whereas for the missing 1 malignant lymph node wherein FNA revealed benign cytology, surgical specimen confirmed metastatic colon cancer. The sensitivity and specificity of EUS-FNA were 90% and 100%, respectively, with positive and negative predictive values of 100% and 90%, respectively. No early or late complications were encountered with this procedure for the sampling of cystic and noncystic masses. Conclusions EUS-FNA has excellent diagnostic accuracy for pelvic masses. It represents a safe procedure with excellent yield and thus may be used as a first line modality for the evaluation and diagnosis of pelvic masses within its reach. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|