Endoscopic ultrasound‐guided fine‐needle biopsy histology with a 22‐gauge Franseen needle and fine‐needle aspiration liquid‐based cytology with a conventional 25‐gauge needle provide comparable diagnostic accuracy in solid pancreatic lesions
| Autor: | Masafumi Chiba, Takafumi Akasu, Kazuki Takakura, Masayuki Kato, Yuji Kinoshita, Yoichi Tomita, Masayuki Saruta, Masanori Nakano, Hirobumi Toyoizumi, Shintaro Tsukinaga, Keisuke Kanazawa, Nana Shimamoto, Yuichi Torisu, Takahiro Abe |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Endoscopic ultrasound
endoscopic ultrasonography guided fine needle aspiration medicine.medical_specialty endoscopic ultrasonography guided fine needle biopsy RC799-869 Malignancy solid pancreatic lesion liquid‐based cytology Cytology Biopsy medicine Hepatology medicine.diagnostic_test business.industry Gastroenterology Histology Original Articles Diseases of the digestive system. Gastroenterology medicine.disease Endoscopic Procedure Franseen needle Fine-needle aspiration Liquid-based cytology Original Article Radiology business |
| Zdroj: | JGH Open: An Open Access Journal of Gastroenterology and Hepatology JGH Open, Vol 5, Iss 9, Pp 1092-1096 (2021) |
| ISSN: | 2397-9070 |
| Popis: | Background and Aim Fine‐needle biopsy (FNB) needles obtain more core samples and support the shift from cytologic to histologic evaluation; however, recent studies have proposed a superior diagnostic potential for liquid‐based cytology (LBC). This study compared the diagnostic ability of endoscopic ultrasound (EUS)‐guided FNB histology with a 22‐gauge Franseen needle (22G‐FNB‐H) and fine‐needle aspiration (FNA) LBC with a conventional 25‐gauge needle (25G‐FNA‐LBC). Methods We analyzed 46 patients who underwent both 22G‐FNB‐H and 25G‐FNA‐LBC in the same lesion during the same endoscopic procedure. This study evaluated the diagnostic ability of each needle, diagnostic concordance between needles, and incremental diagnostic effect of both needles compared to using each needle alone. Results The agreement rate for malignancy between both techniques was 93.5% (kappa value = 0.82). There was no significant difference in the diagnostic ability of both methods. 22G‐FNB‐H and 25G‐FNA‐LBC provided an incremental diagnostic accuracy in two (4.3%) cases and one (2.2%) case, respectively. Conclusion Our study demonstrated that the diagnostic accuracy of 25G‐FNA‐LBC and 22G‐FNA‐H for solid pancreatic lesions were comparable. A conventional 25‐gauge needle that punctures lesions with ease can be used in difficult cases and according to the skill of the endoscopist. We analyzed 46 patients who underwent both endoscopic ultrasound‐guided fine‐needle biopsy histology with a 22‐gauge Franseen needle and fine‐needle aspiration liquid‐based cytology with a conventional 25‐gauge needle in the same lesion during the same endoscopic procedure. There was no significant difference in the diagnostic ability of both methods. Our study suggests that a conventional 25‐gauge needle that punctures lesions with ease can be used in difficult cases and according to the skill of the endoscopist. |
| Databáze: | OpenAIRE |
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