Endoscopic-Ultrasound-Guided Fine-Needle Aspiration and the Role of the Cytopathologist in Solid Pancreatic Lesion Diagnosis

Endoscopic ultrasound (EUS) is the most sensitive imaging modality for solid pancreatic lesions. The specificity, however, is low (about 75%). It can be increased to 100% with an accuracy of 95% by the addition of fine-needle aspiration (FNA). Cytopathology plays an important role. The final diagnos...

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Autores principales: Iqbal, Shahzad, Friedel, David, Gupta, Mala, Ogden, Lorna, Stavropoulos, Stavros N.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2012
Materias:
Review Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3362237/
https://www.ncbi.nlm.nih.gov/pubmed/22666633
http://dx.doi.org/10.1155/2012/317167
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author Iqbal, Shahzad
Friedel, David
Gupta, Mala
Ogden, Lorna
Stavropoulos, Stavros N.
author_facet Iqbal, Shahzad
Friedel, David
Gupta, Mala
Ogden, Lorna
Stavropoulos, Stavros N.
author_sort Iqbal, Shahzad
collection PubMed
description Endoscopic ultrasound (EUS) is the most sensitive imaging modality for solid pancreatic lesions. The specificity, however, is low (about 75%). It can be increased to 100% with an accuracy of 95% by the addition of fine-needle aspiration (FNA). Cytopathology plays an important role. The final diagnosis is based upon the correlation of clinical, EUS, and cytologic features. A close interaction with the cytopathologist is required in improving the diagnostic yield. In this paper, we present an overview of the role of EUS-guided FNA and importance of close interaction with the cytopathologist. Day to day examples of different solid pancreatic lesions have been presented at the end.
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spelling pubmed-33622372012-06-04 Endoscopic-Ultrasound-Guided Fine-Needle Aspiration and the Role of the Cytopathologist in Solid Pancreatic Lesion Diagnosis Iqbal, Shahzad Friedel, David Gupta, Mala Ogden, Lorna Stavropoulos, Stavros N. Patholog Res Int Review Article Endoscopic ultrasound (EUS) is the most sensitive imaging modality for solid pancreatic lesions. The specificity, however, is low (about 75%). It can be increased to 100% with an accuracy of 95% by the addition of fine-needle aspiration (FNA). Cytopathology plays an important role. The final diagnosis is based upon the correlation of clinical, EUS, and cytologic features. A close interaction with the cytopathologist is required in improving the diagnostic yield. In this paper, we present an overview of the role of EUS-guided FNA and importance of close interaction with the cytopathologist. Day to day examples of different solid pancreatic lesions have been presented at the end. Hindawi Publishing Corporation 2012 2012-05-15 /pmc/articles/PMC3362237/ /pubmed/22666633 http://dx.doi.org/10.1155/2012/317167 Text en Copyright © 2012 Shahzad Iqbal et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Iqbal, Shahzad
Friedel, David
Gupta, Mala
Ogden, Lorna
Stavropoulos, Stavros N.
Endoscopic-Ultrasound-Guided Fine-Needle Aspiration and the Role of the Cytopathologist in Solid Pancreatic Lesion Diagnosis
title Endoscopic-Ultrasound-Guided Fine-Needle Aspiration and the Role of the Cytopathologist in Solid Pancreatic Lesion Diagnosis
title_full Endoscopic-Ultrasound-Guided Fine-Needle Aspiration and the Role of the Cytopathologist in Solid Pancreatic Lesion Diagnosis
title_fullStr Endoscopic-Ultrasound-Guided Fine-Needle Aspiration and the Role of the Cytopathologist in Solid Pancreatic Lesion Diagnosis
title_full_unstemmed Endoscopic-Ultrasound-Guided Fine-Needle Aspiration and the Role of the Cytopathologist in Solid Pancreatic Lesion Diagnosis
title_short Endoscopic-Ultrasound-Guided Fine-Needle Aspiration and the Role of the Cytopathologist in Solid Pancreatic Lesion Diagnosis
title_sort endoscopic-ultrasound-guided fine-needle aspiration and the role of the cytopathologist in solid pancreatic lesion diagnosis
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3362237/
https://www.ncbi.nlm.nih.gov/pubmed/22666633
http://dx.doi.org/10.1155/2012/317167
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