Role of Repeated Endoscopic Ultrasound-Guided Fine Needle Aspiration for Inconclusive Initial Cytology Result

نویسنده

  • Eun Young Kim
چکیده

For tissue diagnosis of suspected pancreatic cancer, endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) is the procedure of choice with high safety and accuracy profiles. However, about 10% of cytologic findings of EUS-FNA are inconclusive. In that situation, careful observation, surgical exploration, or alternative diagnostic tools such as bile duct brushing with endoscopic retrograde cholangiopancreatography or computed tomography-guided biopsy can be considered. However, some concerns and/or risks of these options render repeat EUS-FNA a reasonable choice. Repeated EUS-FNA may impose substantial clinical impact with low risk.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Pancreatic tuberculous abscess diagnosed by endoscopic ultrasound-guided fine needle aspiration.

Endoscopic ultrasonography guided fine needle aspiration is a useful diagnostic aid in evaluation of cystic pancreatic mass. We report our patient with pancreatic tuberculous abscess who presented with pyrexia, and was found to have cystic pancreatic mass on CT scan. Pancreatic tuberculous abscess was diagnosed with the help of endoscopic ultrasound (EUS)-guided fine needle aspiration cytology ...

متن کامل

‘Atypical’ Pancreatic Endoscopic Ultrasound-Guided Fine Needle Aspiration ‘Atypical’ Pancreatic Endoscopic Ultrasound-Guided Fine Needle Aspiration Cytology: A Study of Interobserver AgreementCytology: A Study of Interobserver Agreement

Objectives The Papanicolaou Society of Cytopathology’s terminology scheme for endoscopic ultrasound-guided fine needle aspiration cytology includes an ‘atypical’ interpretation category. We conducted a retrospective study to determine the frequency of its use within our institution and the interobserver agreement among pathologists with variable experience in interpretation. Methods Following I...

متن کامل

ASIAN EUS CUP: Asian EUS Cup-01: Endoscopic ultrasound-guided fine needle aspiration cytology from unusual locations

S42 ENDOSCOPIC ULTRASOUND / VOLUME 6 / SUPPLEMENT 1 / AUGUST 2017 Asian EUS Cup-01 Endoscopic ultrasound-guided fine needle aspiration cytology from unusual locations Rajesh Puri, Narendra S. Choudhary, Rinkesh K.

متن کامل

Pancreatic tuberculosis diagnosed with endoscopic ultrasound guided fine needle aspiration.

CONTEXT Isolated pancreatic tuberculosis is rare in the Western world. Its clinical presentation often mimics pancreatic malignancy and the diagnosis is usually not suspected or confirmed prior to laparotomy. Endoscopic ultrasound guided fine needle aspiration cytology has proved to be an excellent tool for the cytological diagnosis of pancreatic and peripancreatic masses. However, this techniq...

متن کامل

Performance and Clinical Role of Endoscopic Ultrasound Fine Needle Aspiration for Diagnosing Gastrointestinal Intramural Lesions

BACKGROUND/AIMS We evaluated the performance, clinical role, and diagnostic accuracy of endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) in gastrointestinal intramural lesions. METHODS Procedural and pathologic data were reviewed from consecutive patients undergoing EUS-FNA for intramural lesions. Final diagnoses were determined by surgical histopathologic conformation and the di...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 46  شماره 

صفحات  -

تاریخ انتشار 2013