Is diagnostic accuracy of fine needle aspiration on solid pancreatic lesions aspiration-related? A multicentre randomised trial
| Autor: | Filippo Mocciaro, Roberto Di Mitri, Rosa Liotta, Ilaria Tarantino, Mario Traina, Antonino Granata, Alessandro Repici, P. Baccarini, Antonella Maimone, Tuzzolino Fabio, Luca Barresi, Gabriele Curcio, Carlo Fabbri, Nico Pagano |
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| Přispěvatelé: | Tarantino I., Di Mitri R., Fabbri C., Pagano N., Barresi L., Granata A., Liotta R., Mocciaro F., Maimone A., Baccarini P., Fabio T., Curcio G., Repici A., Traina M. |
| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
Endoscopic ultrasound
Male medicine.medical_specialty Diagnostic accuracy Adenocarcinoma Sensitivity and Specificity Pancreatic mass medicine Humans Pancrea Single-Blind Method Prospective Studies Pancreatic ma Prospective cohort study Pancreas Endoscopic Ultrasound-Guided Fine Needle Aspiration Syringe Aged Hepatology medicine.diagnostic_test business.industry Gastroenterology Pancreatic Neoplasm Middle Aged medicine.disease Pancreatic Neoplasms Prospective Studie Fine-needle aspiration EUS-FNA Prospective clinical study Female Radiology business Human |
| Popis: | Background: Endoscopic ultrasound fine needle aspiration has a central role in the diagnostic algorithm of solid pancreatic masses. Data comparing the fine needle aspiration performed with different aspiration volume and without aspiration are lacking. We compared endoscopic ultrasound fine needle aspiration performed with the 22 gauge needle with different aspiration volumes (10, 20 and 0. ml), for adequacy, diagnostic accuracy and complications. Methods: Prospective clinical study at four referral centres. Endoscopic ultrasound fine needle aspiration was performed with a 22G needle with both volume aspiration (10 and 20 cc) and without syringe, in randomly assigned sequence. The cyto-pathologist was blinded as to which aspiration was used for each specimen. Results: 100 patients met the inclusion criteria, 88 completed the study. The masses had a mean size of 32.21. ±. 11.24. mm. Sample adequacy evaluated on site was 87.5% with 20. ml aspiration vs. 76.1% with 10. ml (p= 0.051), and 45.4% without aspiration (20. ml vs. 0. ml p |
| Databáze: | OpenAIRE |
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