Comparison of EUS-Guided 19-Gauge Trucut Needle Biopsy With EUS-Guided Fine-Needle Aspiration
| Autor: | Stacey Roberts, Nathan Schmulewitz, Robert H. Hawes, Mostafa Fraig, Brenda J. Hoffman, Shyam Varadarajulu, Michael B. Wallace, Stephan M. Wildi |
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| Rok vydání: | 2004 |
| Předmět: |
Adult
Male medicine.medical_specialty Biopsy Fine-Needle Pilot Projects Endosonography Pancreatic cancer Adrenal Glands Biopsy medicine Humans Pancreas Aged Aged 80 and over medicine.diagnostic_test business.industry Stomach Mediastinum Gastroenterology Reproducibility of Results Middle Aged medicine.disease Mediastinitis digestive system diseases Technical performance Safety profile medicine.anatomical_structure Fine-needle aspiration Needles Needle biopsy Female Radiology business |
| Zdroj: | Endoscopy. 36:397-401 |
| ISSN: | 1438-8812 0013-726X |
| DOI: | 10.1055/s-2004-814316 |
| Popis: | Background and study aims The accuracy of endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) depends on immediate specimen review by a cytopathologist. Stromal tumors, lymphoma, and well-differentiated pancreatic cancer are difficult to diagnose on the basis of cytology alone. To overcome these limitations, a 19-gauge Trucut needle has been developed to obtain histological samples at EUS. This pilot study compares the specimen adequacy and diagnostic accuracy of EUS-guided Trucut needle biopsy (EUS-TNB) with EUS-FNA. Patients and methods A total of 18 patients underwent EUS-TNB and EUS-FNA. The specimen adequacy and diagnostic accuracy of the two techniques was compared. The technical performance and safety profile of the Trucut needle were also evaluated. Results The EUS-TNB specimen was adequate for evaluation in 15/18 patients compared with 18/18 with EUS-FNA (83 % vs. 100 %, not significant). The diagnostic accuracy of EUS-TNB was not significantly different from EUS-FNA (78 % vs. 89 %). Two complications were encountered: one patient developed mediastinitis and required surgery; another had immediate bleeding that was managed conservatively. One technical problem was encountered: the Trucut needle failed to deploy after two passes when a gastric stromal cell tumor was being biopsied. Conclusion The diagnostic accuracy of the new EUS-TNB is comparable to that of EUS-FNA. In our experience, the overall efficacy and safety profile of the Trucut needle appears modest. |
| Databáze: | OpenAIRE |
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