Endoscopic ultrasound guided fine‐needle aspiration vs core needle biopsy for solid pancreatic lesions: Comparison of diagnostic accuracy and procedural efficiency

2019 ◽  
Vol 47 (11) ◽  
pp. 1138-1144 ◽  
Author(s):  
Aslam Syed ◽  
Olivia Babich ◽  
Bharat Rao ◽  
Shailendra Singh ◽  
Neil Carleton ◽  
...  
2008 ◽  
Vol 14 (4) ◽  
pp. 426-431 ◽  
Author(s):  
Teck-Kim Khoo ◽  
Claire Baker ◽  
Julie Hallanger-Johnson ◽  
Andrea Tom ◽  
Clive Grant ◽  
...  

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Lachlan R. Ayres ◽  
Elizabeth K. Kmiotek ◽  
Eric Lam ◽  
Jennifer J. Telford

Background and Aims. Endoscopic ultrasound (EUS) guided fine-needle aspiration (FNA) is the method of choice for sampling pancreatic lesions. This study compares the diagnostic accuracy and safety of FNB using a novel core needle to FNA in solid pancreatic lesions. Methods. A retrospective review of patients in whom EUS FNA or FNB was performed for solid pancreatic lesions was conducted. Diagnostic performance was calculated based upon a dual classification system: classification 1, only malignant pathology considered a true positive, versus classification 2, atypical, suspicious, and malignant pathology considered a true positive. Results. 43 patients underwent FNB compared with 51 FNA. Using classification 1, sensitivity was 74.0% versus 80.0%, specificity 100% versus 100%, and diagnostic accuracy 77.0% versus 80.0% for FNB versus FNA, respectively (all p>0.05). Using classification 2, sensitivity was 97% versus 94.0%, specificity 100% versus 100%, and diagnostic accuracy 98.0% versus 94.0% for FNB versus FNA, respectively (all p>0.05). FNB required significantly fewer needle passes (median = 2) compared to FNA (median = 3; p<0.001). Adverse events occurred in two (4.5%) FNB patients compared with none in the FNA group (p>0.05). Conclusion. FNA and FNB have comparable sensitivity and diagnostic accuracy. FNB required fewer passes.


2020 ◽  
Vol 92 (5) ◽  
pp. 468-474 ◽  
Author(s):  
Ko Woon Park ◽  
Jung Hee Shin ◽  
Soo Yeon Hahn ◽  
Young Lyun Oh ◽  
Sun Wook Kim ◽  
...  

2019 ◽  
Vol 47 (5) ◽  
pp. 255-260 ◽  
Author(s):  
Hyeon Jin Lee ◽  
Young Joong Kim ◽  
Hye Yeon Han ◽  
Jae Young Seo ◽  
Cheol Mog Hwang ◽  
...  

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