| Autor: |
Hussein Hassan Okasha, Mohammed Yousri Ahmed, Marwa A. Ahmed, Sameh Abou Elenin, Abeer Abdel-latif, Mahmoud Farouk, Mahmoud Gamal Ameen, Ahmed Hussein El-Habashi, Mahasen Akram Elshaer, Ahmed Elsayed Alzamzamy |
| Jazyk: |
angličtina |
| Rok vydání: |
2024 |
| Předmět: |
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| Zdroj: |
The Egyptian Journal of Internal Medicine, Vol 36, Iss 1, Pp 1-13 (2024) |
| Druh dokumentu: |
article |
| ISSN: |
2090-9098 |
| DOI: |
10.1186/s43162-024-00328-2 |
| Popis: |
Abstract Background and aims Endoscopic ultrasound-guided tissue acquisition, including both fine-needle aspiration (EUS-FNA) and fine-needle biopsy (EUS-FNB), has been frequently performed to acquire samples from both pancreatic and non-pancreatic lesions. Still, the impact of the diagnostic yield between FNA and FNB is uncertain. We conducted this study to compare the diagnostic performance and accuracy of the 22-gauge FNA needles with the 22-gauge FNB needles in sampling solid pancreatic and non-pancreatic lesions. Methods This is a prospective multicenter study conducted on 465 cases presented with solid pancreatic or non-pancreatic lesions. Results Patients were 275 male and 190 females with a mean age of 59 years. Three-hundred twenty-seven patients had solid pancreatic lesions, while 138 had non-pancreatic lesions; 245 cases underwent EUS-FNA, and the remaining 211 cases underwent EUS-FNB. The presence of intact tissue core and sample adequacy was significantly higher in the FNB cases in solid pancreatic and non-pancreatic lesions. Blood contamination was significantly more in cell blocks and smears of EUS-FNA compared to that of EUS-FNB in solid pancreatic and non-pancreatic lesions. Based on histologic assessment of cell block only, EUS-FNB had more diagnostic accuracy (99%) than FNA (61%) (P-value |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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