Endoscopic ultrasound with combined fine needle aspiration plus biopsy improves diagnostic yield in solid pancreatic masses

Author(s):  
Adalberto Gonzalez ◽  
Vaibhav Wadhwa ◽  
Harjinder Singh ◽  
Sikandar Khan ◽  
Kapil Gupta ◽  
...  
Diagnostics ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. 2272
Author(s):  
Eleni Koukoulioti ◽  
Georgios Tziatzios ◽  
Mario Tadic ◽  
Stavros Dimitriadis ◽  
Paraskevas Gkolfakis ◽  
...  

Current guidelines advocate 3–4 passes with a fine-needle aspiration (FNA) to achieve high rates of diagnostic samples for malignancy when performing endoscopic ultrasound (EUS)-guided sampling of solid pancreatic lesions, in the absence of on-site cytologic evaluation. The aim of this study is to compare 2 vs. 3 needle passes in EUS-FNA for solid pancreatic lesions in terms of incremental diagnostic yield and to identify factors associated with the procedure’s outcome. In this retrospective study, 2 passes of EUS-FNA were found to have similar diagnostic yield compared to 3 passes for the diagnosis of solid pancreatic masses, suggesting that there might be no significant incremental tissue yield when 3 passes are performed.


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