Abstract
Context: Endoscopic ultrasound-guided trucut biopsy (EUS TCB) has a lower yield than fine needle aspiration (FNA) in pancreatic masses but the additional use of TCB to FNA may improve the diagnostic accuracy over FNA alone. Objective: To compare the yield of EUS FNA alone or combined with EUS TCB for diagnosis of pancreatic masses. Design: Single center retrospective case control study conducted at academic tertiary center. Study conducted between March 2004 and April 2007. Participants: A total of 126 consecutive patients referred for EUS guided biopsy of pancreatic mass; three patients excluded from analysis, final cohort comprised 123 patients (108 malignant and 15 benign). EUS FNA was performed in 72 patients and EUS FNA+TCB was performed in 51 patients. Main outcome measures: The diagnostic performance of EUS FNA versus EUS FNA+TCB was compared. Results: The, sensitivity, specificity and frequency of cases correctly identified for malignancy of FNA alone were 87.1% (54/62), 100% (10/10) and 88.8% (64/72), while for the combination of FNA+TCB they were: 95.7% (44/46), 100% (5/5) and 96.0% (49/51), respectively (P=0.184, 1.000, and 0.193 FNA versus FNA+TCB). No major complication occurred in either group. Conclusion: FNA+TCB can be safely performed in selected lesions but sensitivity is not statistically improved over FNA alone (95.7% versus 87.1%).
| Original language | English |
|---|---|
| Pages (from-to) | 422-430 |
| Number of pages | 9 |
| Journal | Journal of the Pancreas |
| Volume | 9 |
| Issue number | 4 |
| State | Published - Aug 13 2008 |
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Keywords
- Biopsy
- Biopsy, fine-needle
- Cytological techniques
- Endosonography
- Pancreatic diseases
- Pancreatic neoplasms
ASJC Scopus subject areas
- Endocrinology
- Gastroenterology
Cite this
EUS-guided fine needle aspiration with and without trucut biopsy of pancreatic masses. / Shah, Syed Mubashir; Ribeiro, Afonso; Levi, Joe; Jorda, Merce; Rocha-Lima, Caio; Sleeman, Danny; Hamilton-Nelson, Kara; Ganjei-Azar, Parvin; Barkin, Jamie S.
In: Journal of the Pancreas, Vol. 9, No. 4, 13.08.2008, p. 422-430.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - EUS-guided fine needle aspiration with and without trucut biopsy of pancreatic masses
AU - Shah, Syed Mubashir
AU - Ribeiro, Afonso
AU - Levi, Joe
AU - Jorda, Merce
AU - Rocha-Lima, Caio
AU - Sleeman, Danny
AU - Hamilton-Nelson, Kara
AU - Ganjei-Azar, Parvin
AU - Barkin, Jamie S
PY - 2008/8/13
Y1 - 2008/8/13
N2 - Context: Endoscopic ultrasound-guided trucut biopsy (EUS TCB) has a lower yield than fine needle aspiration (FNA) in pancreatic masses but the additional use of TCB to FNA may improve the diagnostic accuracy over FNA alone. Objective: To compare the yield of EUS FNA alone or combined with EUS TCB for diagnosis of pancreatic masses. Design: Single center retrospective case control study conducted at academic tertiary center. Study conducted between March 2004 and April 2007. Participants: A total of 126 consecutive patients referred for EUS guided biopsy of pancreatic mass; three patients excluded from analysis, final cohort comprised 123 patients (108 malignant and 15 benign). EUS FNA was performed in 72 patients and EUS FNA+TCB was performed in 51 patients. Main outcome measures: The diagnostic performance of EUS FNA versus EUS FNA+TCB was compared. Results: The, sensitivity, specificity and frequency of cases correctly identified for malignancy of FNA alone were 87.1% (54/62), 100% (10/10) and 88.8% (64/72), while for the combination of FNA+TCB they were: 95.7% (44/46), 100% (5/5) and 96.0% (49/51), respectively (P=0.184, 1.000, and 0.193 FNA versus FNA+TCB). No major complication occurred in either group. Conclusion: FNA+TCB can be safely performed in selected lesions but sensitivity is not statistically improved over FNA alone (95.7% versus 87.1%).
AB - Context: Endoscopic ultrasound-guided trucut biopsy (EUS TCB) has a lower yield than fine needle aspiration (FNA) in pancreatic masses but the additional use of TCB to FNA may improve the diagnostic accuracy over FNA alone. Objective: To compare the yield of EUS FNA alone or combined with EUS TCB for diagnosis of pancreatic masses. Design: Single center retrospective case control study conducted at academic tertiary center. Study conducted between March 2004 and April 2007. Participants: A total of 126 consecutive patients referred for EUS guided biopsy of pancreatic mass; three patients excluded from analysis, final cohort comprised 123 patients (108 malignant and 15 benign). EUS FNA was performed in 72 patients and EUS FNA+TCB was performed in 51 patients. Main outcome measures: The diagnostic performance of EUS FNA versus EUS FNA+TCB was compared. Results: The, sensitivity, specificity and frequency of cases correctly identified for malignancy of FNA alone were 87.1% (54/62), 100% (10/10) and 88.8% (64/72), while for the combination of FNA+TCB they were: 95.7% (44/46), 100% (5/5) and 96.0% (49/51), respectively (P=0.184, 1.000, and 0.193 FNA versus FNA+TCB). No major complication occurred in either group. Conclusion: FNA+TCB can be safely performed in selected lesions but sensitivity is not statistically improved over FNA alone (95.7% versus 87.1%).
KW - Biopsy
KW - Biopsy, fine-needle
KW - Cytological techniques
KW - Endosonography
KW - Pancreatic diseases
KW - Pancreatic neoplasms
UR - http://www.scopus.com/inward/record.url?scp=48949094944&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=48949094944&partnerID=8YFLogxK
M3 - Article
C2 - 18648133
AN - SCOPUS:48949094944
VL - 9
SP - 422
EP - 430
JO - Journal of the Pancreas
JF - Journal of the Pancreas
SN - 1590-8577
IS - 4
ER -