Endoscopic ultrasound core needle for diagnosing of solid pancreatic lesions: is rapid on-site evaluation really necessary?
| Autor: | Rinaldo Pellicano, Monica Arena, Maria A Palamara, Matteo Barabino, Carmelo Luigiano, Leonardo Henry Eusebi, Pierluigi Consolo, Giuseppe Iabichino, Enrico Opocher, Sharmila Fagoonee |
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| Přispěvatelé: | Arena, Monica, Eusebi, Leonardo H., Pellicano, Rinaldo, Palamara, Maria A., Iabichino, Giuseppe, Consolo, Pierluigi, Fagoonee, Sharmila, Opocher, Enrico, Barabino, Matteo, Luigiano, Carmelo |
| Rok vydání: | 2017 |
| Předmět: |
Endoscopic ultrasound
Core needle Abdominal pain Time Factors Biopsy 0302 clinical medicine Biopsy fine-needle Cytology Needle Sampling (medicine) Hematoma medicine.diagnostic_test Medicine (all) Biopsy Needle Pancreatic Neoplasm Equipment Design General Medicine Biopsy fine-needle - Pancreas - Biopsy large-core needle Fine-needle aspiration Needles 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Radiology medicine.symptom Human medicine.medical_specialty Time Factor Cytological Technique Cytological Techniques Diagnosis Differential 03 medical and health sciences medicine Humans Pancreas Endoscopic Ultrasound-Guided Fine Needle Aspiration Pancreatiti business.industry Biopsy large-core needle Pancreatic Diseases medicine.disease digestive system diseases Abdominal Pain fine-needle - Pancreas - Biopsy Pancreatic Neoplasms Pancreatitis large-core needle Pancreatic Disease business |
| Zdroj: | Minerva medica (Testo stamp.) 108 (2017): 547–553. doi:10.23736/S0026-4806.17.05327-7 info:cnr-pdr/source/autori:Arena, Monica; Eusebi, Leonardo H.; Pellicano, Rinaldo; Palamara, Maria A.; Iabichino, Giuseppe; Consolo, Pierluigi; Fagoonee, Sharmila; Opocher, Enrico; Barabino, Matteo; Luigiano, Carmelo/titolo:Endoscopic ultrasound core needle for diagnosing of solid pancreatic lesions: is rapid on-site evaluation really necessary?/doi:10.23736%2FS0026-4806.17.05327-7/rivista:Minerva medica (Testo stamp.)/anno:2017/pagina_da:547/pagina_a:553/intervallo_pagine:547–553/volume:108 |
| ISSN: | 1827-1669 0026-4806 |
| DOI: | 10.23736/s0026-4806.17.05327-7 |
| Popis: | Introduction Endoscopic ultrasound (EUS) guided fine needle aspiration (FNA) has a crucial role in the diagnosis of solid pancreatic lesions and rapid on-site evaluation (ROSE) can increase its diagnostic yield. Rapid on-site evaluation is not always available and after EUS-FNA provides a cytology specimen with scant cellularity. Fine needle biopsy (FNB) specimens containing core tissue may theoretically overcome the limitations of EUS-FNA sampling. It could be hypothesized that EUS-FNB without ROSE could achieve the same adequacy and accuracy of EUS-FNB with ROSE. The aim of this review is to evaluate the evidence on the role of ROSE in the setting of EUS-guided tissue acquisition with core needles in patients with solid pancreatic lesions. Evidence acquisition All relevant articles were extracted up to February 2017 based on the results of searches in PubMed, Scopus and Google Scholar. Evidence synthesis A total of 21 pertinent articles were finally included. Among the included studies, 11 were performed without ROSE, 8 with ROSE, and 2 were performed both with and without ROSE. In the ROSE group we found a sensitivity, specificity, overall diagnostic adequacy and overall diagnostic accuracy of 96%, 100%, 86.5%, 85.5%, respectively, while in the no-ROSE group 86.6%, 100%, 89.5%, 86.1% were found, respectively. Mild pancreatitis (mean rates, 3.43%) and abdominal pain (mean rates, 3.6%) were reported as most frequent adverse events. Conclusions Endoscopic ultrasound guided-FNB without ROSE offers similar results in terms of adequacy and accuracy as in the presence of an on-site cytopathologist. |
| Databáze: | OpenAIRE |
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