دورية أكاديمية

EUS-FNA Biopsy for Pancreatic Mass.

التفاصيل البيبلوغرافية
العنوان: EUS-FNA Biopsy for Pancreatic Mass.
المؤلفون: Altinkaya E; Department of Gastroenterology, Kayseri Training and Research Hospital, Kayseri, Turkiye., Akay E; Department of Pathology, Kayseri Training and Research Hospital, Kayseri, Turkiye., Koc A; Department of Radiology, Kayseri Training and Education Hospital, Kayseri, Turkiye., Caglar E; Department of Gastroenterology, Kayseri Training and Research Hospital, Kayseri, Turkiye.
المصدر: Journal of the College of Physicians and Surgeons--Pakistan : JCPSP [J Coll Physicians Surg Pak] 2024 Jul; Vol. 34 (7), pp. 832-837.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: College of Physicians and Surgeons Pakistan Country of Publication: Pakistan NLM ID: 9606447 Publication Model: Print Cited Medium: Internet ISSN: 1681-7168 (Electronic) Linking ISSN: 1022386X NLM ISO Abbreviation: J Coll Physicians Surg Pak Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Karachi : College of Physicians and Surgeons Pakistan,
مواضيع طبية MeSH: Endoscopic Ultrasound-Guided Fine Needle Aspiration*/methods , Pancreatic Neoplasms*/pathology , Pancreatic Neoplasms*/diagnostic imaging, Humans ; Male ; Female ; Middle Aged ; Aged ; Adult ; Pancreas/pathology ; Endosonography/methods ; Tomography, X-Ray Computed
مستخلص: Objective: To assess both solid and cystic pancreatic lesions using endoscopic ultrasound (EUS), and the effect of endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) in patient management.
Study Design: Descriptive study. Place and Duration of the Study: Department of Gastroenterology, Division of Internal Diseases, Sivas Cumhuriyet University Hospital, Sivas, Turkiye, from January 2018 to 2022.
Methodology: Patients with pancreatic mass, who underwent EUS-FNA were inducted in the study. EUS-FNA was performed using a 22-gauge needle via both transgastric and transduodenal routes. The size of the pancreatic lesion, its location, and whether there was SMA or CA invasion were evaluated on CT and EUS scans. Biopsy results of 64 patients who received EUS-FNA due to pancreatic lesions were considered. The results were divided into malignancy or benign pathology.
Results: A total of 64 cases were compared. Crosstable Chi-square analysis showed a statistically significant difference between CT and EUS (p <0.001). EUS-FNA results revealed that out of the 64 patients with pancreatic mass detected in EUS, 46 had adenocarcinoma, 7 were negative for malignancy, 4 had intraductal papillary mucinous neoplasia (IPMN), 3 had neuroendocrine tumour (NET), 2 had lymphoma, and 2 had solid pseudopapillary neoplasia (SPN). In the 2-year follow-up of the seven patients who were negative for malignancy in EUS-FNA, there were no clinical, laboratory or imaging findings indicating pancreatic malignancy or distant metastasis.
Conclusion: Tissue sampling through EUS-FNA has minimal side effects and remains useful in managing preoperative patients with resectable or suspicious pancreatic masses.
Key Words: Pancreatic cancer, Abdominal CT, Endoscopic ultrasound (EUS), Ultrasound-guided fine-needle aspiration (EUS-FNA).
تواريخ الأحداث: Date Created: 20240709 Date Completed: 20240709 Latest Revision: 20240709
رمز التحديث: 20240709
DOI: 10.29271/jcpsp.2024.07.832
PMID: 38978250
قاعدة البيانات: MEDLINE
الوصف
تدمد:1681-7168
DOI:10.29271/jcpsp.2024.07.832