مورد إلكتروني
Rapid on-site evaluation improves the sensitivity of endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) for solid pancreatic lesions irrespective of technique: A single-centre experience
| العنوان: | Rapid on-site evaluation improves the sensitivity of endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) for solid pancreatic lesions irrespective of technique: A single-centre experience |
|---|---|
| المؤلفون: | Milluzzo, S. M., Olivari, N., Rossi, G., Bianchi, D., Liserre, B., Graffeo, M., Lovera, Mauro, Correale, L., Hassan, Cesare, Spada, Cristiano, Lovera M., Hassan C., Spada C. (ORCID:0000-0002-5692-0960) |
| بيانات النشر: | John Wiley and Sons Inc 2023 |
| نوع الوثيقة: | Electronic Resource |
| مستخلص: | Objective: Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) is the first-line technique for the sampling of pancreatic lesions. Many factors can influence the diagnostic performance of this procedure, including the use of rapid on-site evaluation (ROSE). The primary aim of this study was to compare the adequacy, diagnostic yield, accuracy, sensitivity and specificity of EUS-FNA for solid pancreatic lesions before and after the introduction of ROSE. Methods: This retrospective single-centre study evaluated all consecutive patients who underwent EUS-FNA for suspicious, solid pancreatic masses from April 2012 to March 2015. We compared the findings of EUS-FNA procedures performed during the first and second years following the adoption of ROSE (“ROSE1” and “ROSE2”, respectively) to those performed the year before ROSE introduction (the “pre-ROSE” group). Results: Ninety-one consecutive patients with a total of 93 pancreatic lesions were enrolled. For the pre-ROSE, ROSE1 and ROSE2 groups, the adequacy rates were 96.2%, 96.6% and 100%, the diagnostic yield values were 76.9%, 89.7% and 92.1% and accuracy values were 69.2%, 86.2% and 89.5% (p = NS). Sensitivity for malignancy improved from 63.7% in the pre-ROSE group to 91.7% and 91.2% in the post-ROSE groups (p < 0.05). Specificity for malignancy was 100% in all groups. Conclusions: ROSE can improve the diagnostic performance of EUS-FNA for solid pancreatic lesions, although only sensitivity reached statistical significance. |
| مصطلحات الفهرس: | endoscopic ultrasound, fine needle aspiration, pancreas, pancreatic tumour, Settore MED/12 - GASTROENTEROLOGIA, info:eu-repo/semantics/article |
| URL: | info:eu-repo/semantics/altIdentifier/pmid/37186418 volume:34 issue:4 firstpage:318 lastpage:324 numberofpages:7 issueyear:2023 journal:CYTOPATHOLOGY |
| الإتاحة: | Open access content. Open access content |
| ملاحظة: | English |
| أرقام أخرى: | SYC oai:publicatt.unicatt.it:10807/250879 10.1111/cyt.13237 info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85153759952 1397545157 |
| المصدر المساهم: | UNIV CATTOLICA DEL SACRO CUORE From OAIster®, provided by the OCLC Cooperative. |
| رقم الأكسشن: | edsoai.on1397545157 |
| قاعدة البيانات: | OAIster |
| الوصف غير متاح. |