دورية أكاديمية
أعرض في EDS

Diagnostic Assessment of Endoscopic Ultrasonography-Fine Needle Aspiration Cytology in the Pancreas: A Comparison between Liquid-Based Preparation and Conventional Smear.

التفاصيل البيبلوغرافية
العنوان: Diagnostic Assessment of Endoscopic Ultrasonography-Fine Needle Aspiration Cytology in the Pancreas: A Comparison between Liquid-Based Preparation and Conventional Smear.
المؤلفون: Pyo JS; Department of Pathology, Uijeongbu Eulji Medical Center, Eulji University School of Medicine, Uijeongbu-si 11759, Republic of Korea., Lim DH; Department of Internal Medicine, Uijeongbu Eulji Medical Center, Eulji University School of Medicine, Uijeongbu-si 11759, Republic of Korea., Min KW; Department of Pathology, Uijeongbu Eulji Medical Center, Eulji University School of Medicine, Uijeongbu-si 11759, Republic of Korea., Kim NY; Department of Internal Medicine, Uijeongbu Eulji Medical Center, Eulji University School of Medicine, Uijeongbu-si 11759, Republic of Korea., Oh IH; Department of Internal Medicine, Uijeongbu Eulji Medical Center, Eulji University School of Medicine, Uijeongbu-si 11759, Republic of Korea., Son BK; Department of Internal Medicine, Uijeongbu Eulji Medical Center, Eulji University School of Medicine, Uijeongbu-si 11759, Republic of Korea.
المصدر: Medicina (Kaunas, Lithuania) [Medicina (Kaunas)] 2024 Jun 02; Vol. 60 (6). Date of Electronic Publication: 2024 Jun 02.
نوع المنشور: Journal Article; Comparative Study
اللغة: English
بيانات الدورية: Publisher: MDPI Country of Publication: Switzerland NLM ID: 9425208 Publication Model: Electronic Cited Medium: Internet ISSN: 1648-9144 (Electronic) Linking ISSN: 1010660X NLM ISO Abbreviation: Medicina (Kaunas) Subsets: MEDLINE
أسماء مطبوعة: Publication: 2018- : Basel, Switzerland : MDPI
Original Publication: Kaunas : Lietuvos gydytojų sąjunga
مواضيع طبية MeSH: Endoscopic Ultrasound-Guided Fine Needle Aspiration*/methods , Endoscopic Ultrasound-Guided Fine Needle Aspiration*/statistics & numerical data , Pancreas*/pathology , Pancreas*/diagnostic imaging , Pancreatic Neoplasms*/pathology , Pancreatic Neoplasms*/diagnostic imaging , Pancreatic Neoplasms*/diagnosis, Humans ; Male ; Female ; Middle Aged ; Aged ; Adult ; Cytodiagnosis/methods ; Aged, 80 and over ; Cytology
مستخلص: Background and Objectives : This study aimed to elucidate the cytologic characteristics and diagnostic usefulness of endoscopic ultrasonography-fine needle aspiration cytology (EUS-FNAC) by comparing it with liquid-based preparation (LBP) and conventional smear (CS) in pancreas. Methods : The diagnostic categories (I through VII) were classified according to the World Health Organization Reporting System for Pancreaticobiliary Cytopathology. Ten cytologic features, including nuclear and additional features, were evaluated in 53 cases subjected to EUS-FNAC. Nuclear features comprised irregular nuclear contours, nuclear enlargement, hypochromatic nuclei with parachromatin clearing, and nucleoli. Additional cellular features included isolated atypical cells, mucinous cytoplasm, drunken honeycomb architecture, mitosis, necrotic background, and cellularity. A decision tree analysis was conducted to assess diagnostic efficacy. Results : The diagnostic concordance rate between LBP and CS was 49.1% (26 out of 53 cases). No significant differences in nuclear features were observed between categories III (atypical), VI (suspicious for malignancy), and VII (malignant). The decision tree analysis of LBP indicated that cases with moderate or high cellularity and mitosis could be considered diagnostic for those exhibiting nuclear atypia. Furthermore, in CS, mitosis, isolated atypical cells, and necrotic background exerted a more significant impact on the diagnosis of EUS-FNAC. Conclusions : Significant parameters for interpreting EUS-FNAC may differ between LBP and CS. While nuclear atypia did not influence the diagnosis of categories III, VI, and VII, other cytopathologic features, such as cellularity, mitosis, and necrotic background, may present challenges in diagnosing EUS-FNAC.
References: Hepatobiliary Pancreat Dis Int. 2018 Dec;17(6):553-558. (PMID: 30122329)
Gastrointest Endosc. 1997 Mar;45(3):243-50. (PMID: 9087830)
Am J Gastroenterol. 2002 Jun;97(6):1386-91. (PMID: 12094855)
Gastroenterology. 1997 Apr;112(4):1087-95. (PMID: 9097990)
Cytojournal. 2014 Jun 02;11(Suppl 1):4. (PMID: 25191518)
Diagnostics (Basel). 2020 May 09;10(5):. (PMID: 32397572)
Endoscopy. 1997 Nov;29(9):854-8. (PMID: 9476770)
Acta Cytol. 2022;66(6):475-485. (PMID: 35732161)
Gastrointest Endosc. 2004 Apr;59(4):475-81. (PMID: 15044881)
Oncology. 2017;93 Suppl 1:107-112. (PMID: 29258068)
Cancer Cytopathol. 2022 Mar;130(3):195-201. (PMID: 34623767)
Diagn Cytopathol. 2024 Mar;52(3):145-155. (PMID: 38059418)
Gastrointest Endosc. 2000 Feb;51(2):184-90. (PMID: 10650262)
Endoscopy. 1995 Feb;27(2):171-7. (PMID: 7601050)
Gastrointest Endosc. 1994 Nov-Dec;40(6):700-7. (PMID: 7859968)
World J Gastroenterol. 2007 Jan 14;13(2):289-93. (PMID: 17226911)
Cancer. 2002 Aug 25;96(4):232-9. (PMID: 12209665)
Gastrointest Endosc. 2002 Oct;56(4 Suppl):S86-91. (PMID: 12297756)
Int J Mol Sci. 2022 Jan 31;23(3):. (PMID: 35163571)
J Pers Med. 2023 Sep 05;13(9):. (PMID: 37763124)
Gastrointest Endosc. 1994 Nov-Dec;40(6):694-9. (PMID: 7859967)
Gut. 2000 Feb;46(2):244-9. (PMID: 10644320)
Clin Endosc. 2023 Jul;56(4):499-509. (PMID: 36997186)
J Gastrointest Surg. 2003 Jan;7(1):118-128. (PMID: 12559193)
Cytojournal. 2014 Jun 02;11(Suppl 1):3. (PMID: 25191517)
معلومات مُعتمدة: NA Daewon Pharm (South Korea)
فهرسة مساهمة: Keywords: conventional smear; decision tree analysis; endoscopic ultrasonography; fine needle aspiration cytology; liquid-based preparation; pancreas
تواريخ الأحداث: Date Created: 20240627 Date Completed: 20240627 Latest Revision: 20240629
رمز التحديث: 20240629
مُعرف محوري في PubMed: PMC11205800
DOI: 10.3390/medicina60060930
PMID: 38929547
قاعدة البيانات: MEDLINE
الوصف
تدمد:1648-9144
DOI:10.3390/medicina60060930